Individual
MRS. MELANIE M OLSRUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1075 SW GRANDVIEW AVENUE, SUITE 200, GRANTS PASS, OR 97527
(541) 479-8363
(541) 476-2841
Mailing address
1075 GRANDVIEW AVE, SUITE 200, GRANTS PASS, OR 97527-5118
(541) 479-8363
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200550041
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270068
—
OR
Enumeration date
07/08/2005
Last updated
04/13/2015
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