Individual
DR. MELISSA M KOUNINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
6485 SW BORLAND RD STE B, TUALATIN, OR 97062-9762
(503) 609-0443
(800) 858-8657
Mailing address
6485 SW BORLAND RD STE B, TUALATIN, OR 97062-9762
(503) 609-0443
(800) 858-8657
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
9147
OH
207X00000X
Orthopaedic Surgery Physician
Primary
DO152955
OR
207X00000X
Orthopaedic Surgery Physician
OP60182630
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34009147
OHIO LICENSE
OH
01
—
DO152955
OR STATE
OR
01
—
OP60182630
WA STATE
WA
Enumeration date
05/31/2007
Last updated
12/28/2023
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