Derhak, Melissa

Derhak, Melissa is an sole proprietor health care provider with primary practice located at 715 Lincoln St , Eugene OR 97401-2502. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Derhak, Melissa can be contacted via phone (541) 344-3574.

Contact Information

Primary practice address
715 Lincoln St Eugene OR 97401-2502
Phone: (541) 344-3574
Fax: (541) 344-5652
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 201330198 Oregon

Profile Details

NPI number 1174974307
LBN Legal business name Derhak, Melissa
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 29th, 2016
Last updated Jun 29th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1174974307 NPPES
Oregon MEDICAID 230475

Popular Providers