Basic Information
Provider Information
NPI: 1801117635
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: STRNAD
FirstName: MELINDA
MiddleName: J
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: RANKIN
OtherFirstName: MELINDA
OtherMiddleName: J
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: MD
OtherLastNameType: 1
Mailing Information
Address1: PO BOX 568
Address2:  
City: CORNELIUS
State: OR
PostalCode: 971130568
CountryCode: US
TelephoneNumber: 5033528657
FaxNumber: 5033528658
Practice Location
Address1: 2935 SW CEDAR HILLS BLVD
Address2:  
City: BEAVERTON
State: OR
PostalCode: 970051342
CountryCode: US
TelephoneNumber: 5033526000
FaxNumber: 5033526080
Other Information
ProviderEnumerationDate: 06/16/2010
LastUpdateDate: 11/02/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XMD178903ORY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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