Individual
MS. MELANIE ELIZABETH FARNSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC, AOCNP
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3098
(503) 494-6594
Mailing address
3181 SW SAM JACKSON PARK RD, L586, PORTLAND, OR 97239-3098
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
90003023N1
OR
363LF0000X
Family Nurse Practitioner
090003023N1
OR
363LF0000X
Family Nurse Practitioner
090003023RN
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
211045
—
OR
Enumeration date
08/03/2006
Last updated
01/08/2014
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