Individual provider · Type 1 NPI

Melanie Grace Mix, PAC

Surgical Physician Assistant · Portland, OR

NPI number 1922588508 Active

Practice location

501 N Graham St Ste 420
Portland, OR 97227

Call (503) 288-7303 Map

Fax (503) 288-7306

Mailing address

541 NE 20th Ave Ste 225
Portland, OR 97232-2895

Other practice locations

  • 10000 SE Main St Ste 342, Portland, OR 97216-2470 · (503) 232-5020
  • 1130 NW 22nd Ave Ste 400, Portland, OR 97210-2971 · (503) 413-6722
  • 19250 SW 65th Ave Ste 235, Tualatin, OR 97062-7745 · (503) 692-4820
  • 5050 NE Hoyt St Ste 259, Portland, OR 97213-2984 · (503) 943-3265

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA186897 (OR)
Physician Assistant 363A00000XPA186897 (OR)

Surgical Physician Assistant: Definition to come...

8 other providers at this address

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About NPI 1922588508

Melanie Grace Mix, PAC's National Provider Identifier is 1922588508, issued on Aug 14, 2018. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Portland, OR. The record was last updated on Sep 11, 2025.