Melissa Jo Hedman O.D.

NPI 1689865180 - Optometrist - 152W00000X

NPI Details
NPI 1689865180
Gender Female
Enumeration Date 08/08/2007
Last Updated 08/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
18070 NW EVERGREEN PKWY
BEAVERTON OR, 97006-7451, US
Phone (503) 645-5076
Fax
Business Location
545 HEMLOCK ST
LAKE OSWEGO OR, 97034-6321, US
Phone (503) 866-6857
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Oregon
License Number 3235ATI
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According to our database, Melissa Jo Hedman O.D. NPI is 1689865180, taxonomy code is 152W00000X and license number is 3235ATI, license state is located at Oregon. Melissa Jo Hedman O.D. physically located at 18070 Nw Evergreen Pkwy, Beaverton OR, 97006-7451. NPI Number Melissa Jo Hedman O.D. has the Individual type.

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1689865180 NPI number is provided on an as is basis without warranty of any kind. 1689865180 is maintained by the National Plan & Provider Enumeration System. The contents of Melissa Jo Hedman O.D. are for informational purposes only.