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NPI Code Detail

MEDICARE: MELISSA B HATFIELD

MEDICARE: MELISSA B HATFIELD
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
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1568944510
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA B HATFIELD
Provider Business Mailing Address
First Line : PO BOX 1578
Second Line :
City : NEWPORT
State : OR
Zip : 97365-0117
Country : US
Telephone Number : 541-574-9570
Fax Number :
Provider Business Practice Location Address
First Line : 547 SW 7TH ST
Second Line :
City : NEWPORT
State : OR
Zip : 97365-4909
Country : US
Telephone Number : 541-574-9570
Fax Number : 541-336-5476
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2018
Last Update Date : 09/05/2018

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Directions to “ MELISSA B HATFIELD ” Practice Location

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