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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. LAURA MELLICK, MD

Active

DR. LAURA MELLICK, MD is a General Practice healthcare provider located in PORTLAND, Oregon. NPI 1851354872 is currently active in the NPPES registry. Verify at CMS.

General Practice · PORTLAND, OR

Registration Details

NPI Number
1851354872
Provider Type
Individual
Gender
Female
NPI Issued
Apr 10, 2006 (20.303586521035 yrs)
Last Updated
Sep 6, 2012
Licenses
MD17993 (OR)
MD17993 (OR)

Practice Information

Address
25 NW 23RD PL
SUITE 11
PORTLAND, OR, 972105580
Browse OR providers · Browse ZIP 97210
Phone
5033056262
Fax
5033056078
Primary Specialty
General Practice
208D00000X
Additional Specialty
General Practice

Other General Practice Providers in PORTLAND, OR

Name Credential NPI
DARREN B LYLE MD 1427019058
DR. NGOCCAM THI TRUONG M.D. 1497786164
JOHN ROGER REICHLE MD 1447354436
DR. KAREN SUE MARKS MD 1639221864
DR. RAISA PREMYSLER MD 1407908650
ROSALIE LOUISE MOVIUS M.D. 1013032614
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.