Nicholas Ryan Mellum in Portland - General Practice
Nicholas Ryan Mellum - NPI 1053454173
Nicholas Ryan Mellum is a General Practice in Portland, Oregon. Nicholas Ryan Mellum practices all healthcare services and medical treatments related to General Practice. The NPI Number for Nicholas Ryan Mellum is 1053454173. The last update date is 2016-05-10.
Nicholas Ryan Mellum's current location address is 8910 N Kellogg St, Portland, Oregon. You can contact this provider via phone number 5032864492 and fax number 5037651343. The mailing address for Nicholas Ryan Mellum is 8910 N Kellogg St, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nicholas Ryan Mellum |
|---|---|
| Address | 8910 N Kellogg St, Portland, Oregon |
| Phone Number | 5032864492 |
| Fax Number | 5037651343 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1053454173 |
|---|---|
| Provider Enumeration Date | 2007-02-15 |
| Last Updated Date | 2016-05-10 |
Provider Mailing Address Detail
| Address | 8910 N Kellogg St |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972033002 |
| Phone Number | 5032864492 |
| Fax Number | 5037651343 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | D8836 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique identifier code issued to Nicholas Ryan Mellum by the Centers for Medicare & Medicaid Services?
The Nicholas Ryan Mellum has been assigned the NPI (National Provider Identifier) 1053454173. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Nicholas Ryan Mellum is physically located?
The Nicholas Ryan Mellum is physically situated at the following address: 8910 N Kellogg St, Portland, OR, 972033002.
What is the Nicholas Ryan Mellum's area of specialization and corresponding taxonomy classification?
The Nicholas Ryan Mellum's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
On what date was the 1053454173 assigned to Nicholas Ryan Mellum?
The Nicholas Ryan Mellum was issued its 1053454173 on 2007-02-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Nicholas Ryan Mellum's details last updated?
The information pertaining to the Nicholas Ryan Mellum, including its address, specialty, and other details, was most recently updated on 2016-05-10.