Mr. Michael James Mellick
Mr. Michael James Mellick is an Adult Companion in Portland, Oregon. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
412 SW 12th AvePortland, OR 97205-2329
Phone: (503) 228-7134
Fax: (503) 445-0749
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Companion (primary) | Taxonomy 372600000X |
|---|
Record details
| NPI number | 1558416693 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 25, 2007 |
| Last updated in NPPES | February 4, 2009 |
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