Kenneth Paul Melvin MD

NPI 1013971837 - Internal Medicine - 207R00000X

NPI Details
NPI 1013971837
Gender Male
Enumeration Date 04/17/2006
Last Updated 09/06/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
4035 MERCANTILE DR
SUITE 112
LAKE OSWEGO OR, 97035-2546, US
Phone (503) 203-1177
Fax (503) 203-1178
Business Location
6975 SW SANDBURG ST
SUITE 190
PORTLAND OR, 97223-8073, US
Phone (503) 639-0600
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Oregon
License Number MD 24232
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According to our database, Dr. Kenneth Paul Melvin MD NPI is 1013971837, taxonomy code is 207R00000X and license number is MD 24232, license state is located at Oregon. Kenneth Paul Melvin MD physically located at 4035 Mercantile Dr, Lake Oswego OR, 97035-2546. NPI Number Kenneth Paul Melvin MD has the Individual type.

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1013971837 NPI number is provided on an as is basis without warranty of any kind. 1013971837 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth Paul Melvin MD are for informational purposes only.