Mellick, Michael James

Mellick, Michael James is an individual health care provider with primary practice located at 412 Sw 12Th Ave , Portland OR 97205-2329. He recently has only one registered license in Nursing Service Related Providers / Adult Companion, which is considered as his primary health care specialty. Mellick, Michael James can be contacted via phone (503) 228-7134.

Contact Information

Primary practice address
412 Sw 12Th Ave Portland OR 97205-2329
Phone: (503) 228-7134
Fax: (503) 445-0749
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Adult Companion 372600000X

Profile Details

NPI number 1558416693
LBN Legal business name Mellick, Michael James
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2007
Last updated Feb 4th, 2009 - about 17 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.

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