Individual
MELISSA NIEMIEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 YALE PL APT 314, MINNEAPOLIS, MN 55403-2160
(630) 877-3947
Mailing address
3303 S BOND AVE, PORTLAND, OR 97239-4501
(503) 346-1500
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA222339
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/07/2022
Last updated
01/17/2025
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