DR. Nicholas Ryan Mellum, DMD

NPI #1053454173 in Portland, Oregon

Provider Information

NPI Number
1053454173
Entity Type
Individual
Name
DR. Nicholas Ryan Mellum, DMD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DMD
Enumeration Date
Feb 15, 2007
Last Updated
May 10, 2016

Practice Location

Address
8910 N KELLOGG ST
State
Oregon
ZIP Code
97203-3002
Phone
(503) 286-4492

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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