MELISSA ESHELMAN MD LLC NPI 1740368992

NPI Information

NPI: 1740368992
Provider Name: MELISSA ESHELMAN, MD, LLC
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Organization

Specialization: Child & Adolescent Psychiatry

Address:
4805 NE GLISAN ST
3E
PORTLAND, OR
ZIP 97213
Phone: (503) 215-7462
Get Directions

MELISSA ESHELMAN, MD, LLC is a child and adolescent psychiatry psychiatry neurology in Portland, OR. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. MELISSA ESHELMAN, MD, LLC NPI is 1740368992. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4805 NE GLISAN ST
3E
PORTLAND, OR
ZIP 97213-933
Phone: (503) 215-7462
Fax: (503) 215-7460

The provider's authorized official is Melissa Eshelman .
The authorized official title is Owner and has the following contact phone number (503) 215-7462.

The enumeration date for this NPI number is 11/2/2006 and was last updated on 10/11/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	MD18604	OREGON	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	149999	MEDICAID	OREGON
2	E94617	MEDICARE UPIN	OREGON

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

NPI Synchronization or Removal

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