Individual
DR. MADISON P MELTEBEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1750 MCGILCHRIST ST SE, SALEM, OR 97302-1691
(971) 304-2283
Mailing address
1016 36TH AVE, FOREST GROVE, OR 97116-5007
(503) 528-4796
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ATI4574
OR
Other
Enumeration date
06/30/2021
Last updated
06/30/2021
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