Individual
MELISSA NICOLE WOLLMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
705 ELM ST SW STE 200, ALBANY, OR 97321-1957
(541) 812-4850
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
5151014516
MI
207VX0000X
Obstetrics Physician
Primary
DO221057
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/15/2018
Last updated
10/28/2024
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