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Individual

MS. MELANIE JANE PARKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
1120 SW 3RD AVE, PORTLAND, OR 97204-2801
(503) 988-4832
Mailing address
1120 SW 3RD AVE, PORTLAND, OR 97204-2801
(503) 988-4832

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
200950103NP
OR

Other

Enumeration date
09/28/2009
Last updated
09/28/2009
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