Individual
DR. MELANIE ANN HENRIKSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM, N.D., L.AC
Contact information
Practice address
1106 NW FRAZIER CT, PORTLAND, OR 97229-8487
(503) 740-4541
Mailing address
1106 NW FRAZIER CT, PORTLAND, OR 97229-8487
(503) 740-4541
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
200743309RN
OR
171100000X
Acupuncturist
AC00942
OR
175F00000X
Naturopath
1423
OR
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
200950104NP
OR
Other
Enumeration date
12/17/2006
Last updated
03/31/2017
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