Melvin, Kenneth Paul

Melvin, Kenneth Paul is an sole proprietor health care provider with primary practice located at 4035 Mercantile Dr Suite 112, Lake Oswego OR 97035-2546. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Melvin, Kenneth Paul can be contacted via phone (503) 203-1177.

Contact Information

Primary practice address
4035 Mercantile Dr Suite 112 Lake Oswego OR 97035-2546
Phone: (503) 203-1177
Fax: (503) 203-1178
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD 24232 Oregon

Profile Details

NPI number 1013971837
LBN Legal business name Melvin, Kenneth Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 17th, 2006
Last updated Mar 7th, 2023 - about last year

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 1013971837 NPPES
Oregon MEDICAID 269812
Oregon Other MD24232

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