Melina, Carl M

Melina, Carl M is an individual health care provider with primary practice located at 18610 Nw Cornell Road Suite 100, Hillsboro OR 97124-9923. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Melina, Carl M can be contacted via phone (503) 216-9360.

Contact Information

Primary practice address
18610 Nw Cornell Road Suite 100 Hillsboro OR 97124-9923
Phone: (503) 216-9360
Fax: (503) 216-9363
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X M-3948 Idaho
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD28596 Oregon

Profile Details

NPI number 1750448981
LBN Legal business name Melina, Carl M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2007
Last updated Oct 28th, 2012 - about 12 years 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 1750448981 NPPES
Idaho Other 00010004964 REGENCE BS ID
Idaho MEDICAID 003843600 REGENCE BS ID
Idaho MEDICAID 8167140 REGENCE BS ID
Idaho Other B1725 REGENCE BS ID
Idaho MEDICAID 024599 REGENCE BS ID
Idaho Other 080062808 REGENCE BS ID
Idaho Other P00650735 REGENCE BS ID

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