Individual
MELINDA M HEMPHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNW
Contact information
Practice address
420 N FAIRVIEW AVE, BURNS, OR 97720-1416
(541) 573-2271
(541) 573-8388
Mailing address
420 N FAIRVIEW AVE, BURNS, OR 97720-1416
(541) 573-2271
(541) 573-8388
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
59431893502
UT
1041C0700X
Clinical Social Worker
Primary
L7022
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
260022408
RAIL ROAD MEDICARE
—
Enumeration date
10/30/2006
Last updated
06/26/2019
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