Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kenneth P Melvin, MD, PC

Organization Primary Care Clinic/Center · NPI 1255501698

Kenneth P Melvin, MD, PC is a Primary Care Clinic/Center in Lake Oswego, Oregon. Licensed in Oregon. Registered with an NPI since 2008.

Licensed in
OR
In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4035 Mercantile Dr Ste 112
Lake Oswego, OR 97035-2546
Phone: (503) 203-1177
Fax: (503) 203-1178
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence MD24232 (OR)

Record details

NPI number1255501698
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Melvin — President · (503) 203-1177
NPI enumeratedFebruary 29, 2008
Last updated in NPPESFebruary 29, 2008
Mailing address4035 Mercantile Dr, Suite 112, Lake Oswego, OR 97035-2546

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