NICK R. MELLUM DMD PC
Dentist at Kellogg St, Portland, OR

License number
Oregon D8836
Category
Dentist
Type
General Practice
Owner
Name: DR. NICK MELLUM DMD
Title: DENTIST
Phone: (503) 286-4492
Address
Address
8910 N Kellogg St, Portland, OR 97203
National Provider ID: 1013281484
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about NICK R. MELLUM DMD PC at bizstanding.com

NICK R. MELLUM, DMD PC

8910 N Kellogg, Portland, OR 97203

Registration:
Nov 15, 1979
State ID:
14078612
Business type:
Domestic Professional Corporation
Agent:
Sw&W Registered Agents, Inc,1211 SW 5 Ave STE 1800, Portland, OR 97204 (Physical)

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