Provider Demographics
NPI:1013162726
Name:CATOR-MEAD, MELINDA SUE (DC)
Entity Type:Individual
Prefix:DR
First Name:MELINDA
Middle Name:SUE
Last Name:CATOR-MEAD
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:MELINDA
Other - Middle Name:SUE
Other - Last Name:CATOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:PO BOX 887
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:OR
Mailing Address - Zip Code:97883-0887
Mailing Address - Country:US
Mailing Address - Phone:541-562-5876
Mailing Address - Fax:541-562-9210
Practice Address - Street 1:181 SOUTH MAIN STREET
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:OR
Practice Address - Zip Code:97883
Practice Address - Country:US
Practice Address - Phone:541-562-5876
Practice Address - Fax:541-562-9210
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-21
Last Update Date:2008-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1406111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor