| Melissa Davis, MSN, FNP-C | |
|
19875 Sw 65th Ave Ste 100, Tualatin, OR 97062-8353 | |
| (503) 692-7785 | |
| Not Available |
| Full Name | Melissa Davis |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 19875 Sw 65th Ave Ste 100, Tualatin, Oregon |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437636065 | NPI | - | NPPES |
| 500747523 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 201806007NP-PP (Oregon) | Primary |
| 163W00000X | Registered Nurse | 201502767RN (Oregon) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Legacy Meridian Park Medical Center | Tualatin, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Legacy Meridian Park Hospital | 5092609842 | 90 |
| Entity Name | Legacy Meridian Park Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184647620 PECOS PAC ID: 5092609842 Enrollment ID: O20040211001181 |
| Entity Name | Well Life Family Medicine Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760998355 PECOS PAC ID: 1355684937 Enrollment ID: O20190522002581 |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Davis, MSN, FNP-C Po Box 6689, Portland, OR 97228-6689 Ph: () - | Melissa Davis, MSN, FNP-C 19875 Sw 65th Ave Ste 100, Tualatin, OR 97062-8353 Ph: (503) 692-7785 |
Mrs. Alice Darlene Hamilton, P.N.P Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 22300 Sw Boones Ferry Rd, Tualatin, OR 97062 Phone: 503-431-5975 Fax: 503-431-5976 | |
Mackenzie Eileen Callis, APRN, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18650 Sw Boones Ferry Rd Ste 3, Tualatin, OR 97062 Phone: 503-351-5858 | |
Ms. Nicole Gay Ingram, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19250 Sw 65th Ave, Suite 300, Tualatin, OR 97062 Phone: 503-855-1205 | |
Mrs. Lindsay Ann Marshall, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18765 Sw Boones Ferry Rd, Tualatin, OR 97062 Phone: 503-612-1000 | |
Katherine Anne Mcduffee, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18840 Sw Boones Ferry Rd, Tualatin, OR 97062 Phone: 503-332-1251 | |
Ms. Jade Funtanilla Kekaualua, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 19185 Sw 90th Ave, Tualatin, OR 97062 Phone: 503-608-9694 | |
Carole L Dennison, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19250 Sw 65th Ave, Suite 325, Tualatin, OR 97062 Phone: 503-692-1242 Fax: 503-691-3615 |