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General NPI Number Information
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NPI Number | 1932866837
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Entity Type | Organization
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Legal Business Name | MELODY JONES, PMHNP, LLC
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Dates
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Enumeration Date | 11/26/2021
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Last Update Date | 01/27/2022
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Provider Practice Location Address
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Address Line | 8215 SW TUALATIN SHERWOOD RD
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City | TUALATIN
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State | OR
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Zip | 97062-8620
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Country | US
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Telephone | 971-356-4110
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Fax |
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Provider Business Mailing Address
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Address Line | 4860 CENTERWOOD ST
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City | LAKE OSWEGO
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State | OR
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Zip | 97035-8203
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Country | US
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Telephone | 971-356-4110
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MELODY BECKER JONES
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Credential |
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Telephone | 971-356-4110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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