Provider Demographics
NPI:1518930387
Name:ARNDT, MELISSA THUE (PA)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:THUE
Last Name:ARNDT
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:917 11TH STREET
Mailing Address - Street 2:HOOD RIVER DERMATOLOGY, INC
Mailing Address - City:HOOD RIVER
Mailing Address - State:OR
Mailing Address - Zip Code:97031-1578
Mailing Address - Country:US
Mailing Address - Phone:541-386-2517
Mailing Address - Fax:541-386-1919
Practice Address - Street 1:917 11TH STREET
Practice Address - Street 2:HOOD RIVER DERMATOLOGY, INC
Practice Address - City:HOOD RIVER
Practice Address - State:OR
Practice Address - Zip Code:97031-1578
Practice Address - Country:US
Practice Address - Phone:541-386-2517
Practice Address - Fax:541-386-1919
Is Sole Proprietor?:No
Enumeration Date:2006-02-10
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORPA01061363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORPA01061OtherMEDICAL LICENSE
ORPA01061OtherMEDICAL LICENSE
ORPA01061OtherMEDICAL LICENSE