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NPI Code Detail

MEDICARE: MELISSA LONEMAN

MEDICARE: MELISSA LONEMAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172V00000XCommunity Health Worker113472OR

General Provider Information

NPI Number : 1477417160
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA LONEMAN
Provider Business Mailing Address
First Line : 703 NE HANCOCK ST
Second Line :
City : PORTLAND
State : OR
Zip : 97212-3955
Country : US
Telephone Number : 503-230-9875
Fax Number : 503-331-3441
Provider Business Practice Location Address
First Line : 703 NE HANCOCK ST
Second Line :
City : PORTLAND
State : OR
Zip : 97212-3955
Country : US
Telephone Number : 503-230-9875
Fax Number : 503-331-3441
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2025
Last Update Date : 12/16/2025

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Directions to “ MELISSA LONEMAN ” Practice Location

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