Provider Demographics
NPI:1043514979
Name:CHAKMAKIAN, MELISSA K (CD)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:K
Last Name:CHAKMAKIAN
Suffix:
Gender:F
Credentials:CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4835 SE OGDEN ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97206-8351
Mailing Address - Country:US
Mailing Address - Phone:503-706-4219
Mailing Address - Fax:
Practice Address - Street 1:4835 SE OGDEN ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97206-8351
Practice Address - Country:US
Practice Address - Phone:503-706-4219
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-07
Last Update Date:2011-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula