MELISSA RAYNE HEIDER BRAUN PNP
Individual Provider (NPI-1)
Active
Nurse Practitioner, Pediatrics
Provider Information
- NPI Number
1831815109- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PNP
- Status
- Active
Contact & Location
- Address
- 2226 NW PETTYGROVE ST STE 161, PORTLAND, OR, 972102608
- Phone
- (503) 297-1078
- Fax
- (503) 292-2176
Specialties & Taxonomies
Urology
License: OR #202200910NP-PP
Nurse Practitioner, Pediatrics
Primary License: OR #202200910NP-PP