Kidby, Melissa Jean

Kidby, Melissa Jean is an individual health care provider with primary practice located at 12999 S Macdonalds Pl , Oregon City OR 97045-7529. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Kidby, Melissa Jean can be contacted via phone (541) 295-5172.

Contact Information

Primary practice address
12999 S Macdonalds Pl Oregon City OR 97045-7529
Phone: (541) 295-5172
Fax: (971) 362-4818
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Nursing Service Providers / Registered Nurse 163W00000X 201404684RN Oregon
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 201800978NP-PP Oregon

Profile Details

NPI number 1124427950
LBN Legal business name Kidby, Melissa Jean
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2014
Last updated Jun 20th, 2024 - about 3 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124427950 NPPES
Oregon MEDICAID 1124427950

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