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MELIORA CLINIC NPI 1023695830


NPI Information

NPI: 1023695830
Provider Name: MELIORA CLINIC

Former Legal Business Name: DR. AOB CLINIC LLC

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 38D2242812

Address:
2540 NE MLK JR BLVD
SUITE A
PORTLAND, OR
ZIP 97212
Phone: (971) 220-2759
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MELIORA CLINIC is a multi-specialty clinic center in Portland, OR. MELIORA CLINIC NPI is 1023695830. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Dr. Aob Clinic Llc.

The provider's business location address is:

2540 NE MLK JR BLVD
SUITE A
PORTLAND, OR
ZIP 97212
Phone: (971) 220-2759
Fax: (503) 954-2250

The provider's authorized official is Bobbie Anne Lawton Lamichhane .
The authorized official title is Practice Manager and has the following contact phone number (971) 220-2759.

The CLIA number assigned to this NPI record is 38D2242812 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/26/2021 and was last updated on 11/27/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM1300XClinic/CenterMulti-SpecialtyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1500798461MEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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