Dr. Melissa Pendergrass, MD

Individual provider Women's Hospital · NPI 1649463118

Dr. Melissa Pendergrass, MD is an Obstetrics/Gynecology in Tualatin, Oregon. Qualified in 2007, 19 years ago. Practices with Legacy Clinics LLC, a 718-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying: 19
Licensed in: IL
In the registry since: 2007
Specialties on file: 2

What do these letters mean?

MD — Doctor of Medicine: A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

19875 SW 65th Ave Ste 250
Tualatin, OR 97062-8353
Phone: (503) 612-5260

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

Obstetrics & Gynecology Physician (primary)	Taxonomy 207V00000X · Licence 125-053708 (IL)
Women's Hospital	Taxonomy 282NW0100X (IL)

Record details

NPI number	1649463118
Entity type	Individual (Type 1)
Gender	Female
Credentials	MD
Sole proprietor	Yes
NPI enumerated	August 19, 2007
Last updated in NPPES	September 6, 2023
Certification date	September 6, 2023
Mailing address	19875 Sw 65th Ave Ste 250, Tualatin, OR 97062-8353

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialty	OBSTETRICS/GYNECOLOGY
Medical school	OTHER
Graduated	2007 (19 years in practice)
Group practice	Legacy Clinics Llc — 718 clinicians
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount