Pendergrass, Melissa

Pendergrass, Melissa is an sole proprietor health care provider with primary practice located at 19875 Sw 65Th Ave Ste 250 , Tualatin OR 97062-8353. She recently has 2 registered licenses in different health care specialties including Hospitals / Women, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Pendergrass, Melissa can be contacted via phone (503) 612-5260.

Contact Information

Primary practice address
19875 Sw 65Th Ave Ste 250 Tualatin OR 97062-8353
Phone: (503) 612-5260
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Women 282NW0100X Illinois
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 125-053708 Illinois

Profile Details

NPI number 1649463118
LBN Legal business name Pendergrass, Melissa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 19th, 2007
Last updated Sep 6th, 2023 - about 2 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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