Organization · Type 2 NPI

Kenneth P Melvin, Md, PC

Primary Care Clinic/Center · Lake Oswego, OR

NPI number 1255501698 Active

Practice location

4035 Mercantile Dr, Suite 112
Lake Oswego, OR 97035-2546

Call (503) 203-1177 Map

Fax (503) 203-1178

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XMD24232 (OR)

Primary Care Clinic/Center: Definition to come...

13 other providers at this address

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About NPI 1255501698

Kenneth P Melvin, Md, PC's National Provider Identifier is 1255501698, issued on Feb 29, 2008. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Lake Oswego, OR. The record was last updated on Feb 29, 2008.