Provider Demographics
NPI:1689841959
Name:SHARON MELNICK, MD, PC
Entity Type:Organization
Organization Name:SHARON MELNICK, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:MELNICK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:541-273-6200
Mailing Address - Street 1:905 MAIN ST STE 615
Mailing Address - Street 2:
Mailing Address - City:KLAMATH FALLS
Mailing Address - State:OR
Mailing Address - Zip Code:97601-5831
Mailing Address - Country:US
Mailing Address - Phone:541-273-6200
Mailing Address - Fax:541-273-6357
Practice Address - Street 1:905 MAIN ST STE 615
Practice Address - Street 2:
Practice Address - City:KLAMATH FALLS
Practice Address - State:OR
Practice Address - Zip Code:97601-5810
Practice Address - Country:US
Practice Address - Phone:541-273-6200
Practice Address - Fax:541-273-6357
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-14
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty