Individual
CLIFFORD STEPHEN MELNYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8577
Mailing address
4920 SW WINDSOR CT, PORTLAND, OR 97221-2136
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD06928
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031989
—
OR
Enumeration date
07/31/2006
Last updated
07/08/2007
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