Individual
MELISSA RAYNE HEIDER BRAUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
2226 NW PETTYGROVE ST STE 161, PORTLAND, OR 97210-2608
(503) 297-1078
(503) 292-2176
Mailing address
9135 SW BARNES RD STE 663, PORTLAND, OR 97225-6683
(503) 297-1078
(503) 292-2176
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
202200910NP-PP
OR
363LP0200X
Pediatric Nurse Practitioner
Primary
202200910NP-PP
OR
Other
Enumeration date
10/18/2022
Last updated
11/12/2025
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