Individual
MRS. JULIE ANNA MELVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4115 SE HAGER LN, MILWAUKIE, OR 97267-2925
(541) 913-8530
Mailing address
1542 NE LINCOLN ST, HILLSBORO, OR 97124-3368
(541) 913-8530
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201402605LPN
OR
Other
Enumeration date
10/31/2019
Last updated
10/31/2019
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