Provider Demographics
NPI:1750172458
Name:FOSTER, MELINDA ANNE
Entity type:Individual
Prefix:
First Name:MELINDA
Middle Name:ANNE
Last Name:FOSTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12505 SW NORTH DAKOTA ST APT 316
Mailing Address - Street 2:
Mailing Address - City:TIGARD
Mailing Address - State:OR
Mailing Address - Zip Code:97223-3286
Mailing Address - Country:US
Mailing Address - Phone:818-746-0000
Mailing Address - Fax:
Practice Address - Street 1:787 SW ALDER ST
Practice Address - Street 2:
Practice Address - City:DUNDEE
Practice Address - State:OR
Practice Address - Zip Code:97115-9531
Practice Address - Country:US
Practice Address - Phone:818-746-0000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-14
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide