Provider Demographics
NPI:1558607028
Name:PAPESH, MELISSA (AUD)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:
Last Name:PAPESH
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3710 SW US VETERANS HOSPITAL RD
Mailing Address - Street 2:NATIONAL CENTER FOR REHABILITATIVE AUDITORY RESEARCH
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97239-2964
Mailing Address - Country:US
Mailing Address - Phone:503-220-8262
Mailing Address - Fax:503-721-1402
Practice Address - Street 1:3710 SW US VETERANS HOSPITAL RD
Practice Address - Street 2:NATIONAL CENTER FOR REHABILITATIVE AUDITORY RESEARCH
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239-2964
Practice Address - Country:US
Practice Address - Phone:503-220-8262
Practice Address - Fax:503-721-1402
Is Sole Proprietor?:No
Enumeration Date:2013-01-02
Last Update Date:2013-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR24098231HA2400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR24098OtherAUDIOLOGY LICENSE