Search › Idaho › 207R00000X
Melissa Park, MD
NPI 1386676039 · on the registry since 2006
Practice
- Address
- 1203 Idaho St
Lewiston, ID 83501 - Phone
- (509) 444-8888
- Organisation at this address
- Community Health Association Of Spokane
Community Health Association Of Spokane
Community Health Association Of SpokaneInferred from a shared address, not stated in the registry. - Clinicians at this address
- 29
Additional practice sites
- 803 S Main St Ste 120, Moscow, ID
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 207R00000X
- Licence states on file
- ME, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-07-22
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 Idaho