Individual
ALISA MELNIKOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3455 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-3076
(503) 494-7725
Mailing address
3455 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-3076
(503) 494-7725
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
216341
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/14/2022
Last updated
03/12/2026
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