Healthcare Provider Details

I. General information

NPI: 1144533480
Provider Name (Legal Business Name): MELISSA M SANCHEZ FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2010
Last Update Date: 06/25/2025
Certification Date: 06/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2163 NW 2ND ST
MCMINNVILLE OR
97128-9108
US

IV. Provider business mailing address

PO BOX 1517
PENDLETON OR
97801-0410
US

V. Phone/Fax

Practice location:
  • Phone: 503-472-4197
  • Fax: 503-434-2886
Mailing address:
  • Phone: 877-708-1119
  • Fax: 541-278-8349

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number201050129NP
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: