Olsrud, Melanie M

Olsrud, Melanie M is an individual health care provider with primary practice located at 1075 Sw Grandview Avenue Suite 200, Grants Pass OR 97527. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Olsrud, Melanie M can be contacted via phone (541) 479-8363.

Contact Information

Primary practice address
1075 Sw Grandview Avenue Suite 200 Grants Pass OR 97527
Phone: (541) 479-8363
Fax: (541) 476-2841
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 200550041 Oregon

Profile Details

NPI number 1841298320
LBN Legal business name Olsrud, Melanie M
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Apr 13th, 2015 - about 9 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 1841298320 NPPES
Oregon MEDICAID 270068

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