Kenneth P Melvin, Md, PC
NPI #1255501698 in Lake Oswego, Oregon
Provider Information
- NPI Number
- 1255501698
- Entity Type
- Organization
- Organization Name
- Kenneth P Melvin, Md, PC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Feb 29, 2008
- Last Updated
- Feb 29, 2008
Practice Location
- Address
- 4035 MERCANTILE DR
- Address 2
- SUITE 112
- City
- Lake Oswego
- State
- Oregon
- ZIP Code
- 97035-2546
- Phone
- (503) 203-1177
Authorized Official
- Name
- DR. KENNETH PAUL MELVIN, MD
- Title
- PRESIDENT
- Phone
- (503) 203-1177
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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