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Search › Oregon › General Practice Dentistry

Nicholas Mellum, DMD

NPI 1053454173 · on the registry since 2007

Practice

Address
8910 N Kellogg St
Portland, OR 97203
Phone
(503) 286-4492
Organisation at this address
Nick R. Mellum Dmd Pc
Michael D. Mellum, Dmd Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-05-10
Status
Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon