Individual provider · NPI-1
Dr. Melanie Ann Crites-Bachert, D.O.
Urology · Gresham, OR
NPI number1487847554
StatusActive
Last updated in NPPESJul 13, 2022
Details
- NPI
- 1487847554
- Entity type
- Individual (NPI-1)
- Name
- Dr. Melanie Ann Crites-Bachert
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 22, 2007
- Certification date
- Jul 13, 2022
- Last updated
- Jul 13, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208800000X | Urology | DO154071 | OR | Yes |
Practice location
24076 Se Stark StSuite 310
Gresham, OR 97030-3373
Phone 503-492-6510 · Fax 503-492-6502
Mailing address
3269 N Stockton Hill RdKingman, AZ 86409-3619
Phone 928-263-4722
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