Kenneth P Melvin, Md, Pc - Primary Care in Lake Oswego, OR

Kenneth P Melvin, Md, Pc is a primary clinic (Clinic/center - Primary Care) in Lake Oswego, Oregon. The current practice location for Kenneth P Melvin, Md, Pc is 4035 Mercantile Dr, Suite 112, Lake Oswego, Oregon. For appointments, you can reach them via phone at (503) 203-1177. The mailing address for Kenneth P Melvin, Md, Pc is 4035 Mercantile Dr, Suite 112, Lake Oswego, Oregon and phone number is (503) 203-1177.

Kenneth P Melvin, Md, Pc is licensed to practice in Oregon (license number MD24232) and its NPI number is 1255501698. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (503) 203-1177.

Contact Information

Kenneth P Melvin, Md, Pc
4035 Mercantile Dr
Suite 112
Lake Oswego
OR 97035-2546
(503) 203-1177
(503) 203-1178

Primary Care Clinic Profile

Full NameKenneth P Melvin, Md, Pc
SpecialityClinic/center - Primary Care
Location4035 Mercantile Dr, Lake Oswego, Oregon
Authorized Official Name and PositionKenneth Paul Melvin (PRESIDENT)
Authorized Official Contact5032031177
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kenneth P Melvin, Md, Pc
4035 Mercantile Dr
Suite 112
Lake Oswego
OR 97035-2546

Ph: (503) 203-1177
Kenneth P Melvin, Md, Pc
4035 Mercantile Dr
Suite 112
Lake Oswego
OR 97035-2546

Ph: (503) 203-1177

NPI Details:

NPI Number1255501698
Provider Enumeration Date02/29/2008
Last Update Date02/29/2008

Medical Identifiers

Medical identifiers for Kenneth P Melvin, Md, Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255501698NPI-NPPES
MD24232OtherOROREGON LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QP2300XClinic/center - Primary Care MD24232 (Oregon)Primary

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