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

Mel Pierdomenico, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1134757172

Mel Pierdomenico, DO is a Family Practice in Vancouver, Washington. Graduated from Michigan State University College of Osteopathic Medicine in 2020, 6 years ago. Practices with The Vancouver Clinic Inc Ps, a 580-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
6
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
WA
In the registry since
2020
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

700 NE 87th Ave
Vancouver, WA 98664-1913
Phone: (360) 882-2778
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1121 E North Ave, Milwaukee, WI 53212-3515 — (414) 267-6520

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OP61436516 (WA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1134757172
Entity typeIndividual (Type 1)
GenderNot disclosed
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 27, 2020
Last updated in NPPESMay 24, 2024
Certification dateMay 24, 2024
Mailing addressPo Box 4825, Portland, OR 97208-4825

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2020 (6 years in practice)
Group practice The Vancouver Clinic Inc Ps — 580 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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