Nick R. Mellum DMD PC
Nick R. Mellum DMD PC is a General Practice Dentistry in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2012.
- Licensed in
- OR
- In the registry since
- 2012
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
8910 N Kellogg StPortland, OR 97203-3002
Phone: (503) 286-4492
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence D8836 (OR) |
|---|
Record details
| NPI number | 1013281484 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Nick Mellum — Dentist · (503) 286-4492 |
| NPI enumerated | March 2, 2012 |
| Last updated in NPPES | March 2, 2012 |
| Mailing address | 8910 N Kellogg St, Portland, OR 97203-3002 |
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