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NICK R. MELLUM DMD PC
NPI 1013281484
Dentist - General Practice in Portland, OR

Active since March 02, 2012
8910 N KELLOGG ST, PORTLAND, OR 97203(503) 286-4492 Get Directions Write a Review

NPPES record last updated: March 2, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nick R. Mellum Dmd Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICK R. MELLUM DMD PC (NPI 1013281484) is a healthcare organization registered as a general practice in Portland, Oregon and active in the NPI registry since March 2012. The organization lists Nick Mellum, Dentist, as its authorized official.

NPPES Registry Identity

NPI1013281484
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameNICK R. MELLUM DMD PC
Location Address8910 N KELLOGG STPortland, OR 97203-3002
Mailing Address8910 N Kellogg StPortland, OR 97203-3002
Phone(503) 286-4492
Organization SubpartNo
Authorized OfficialNick MellumDentist · (503) 286-4492
Enumeration DateMarch 2, 2012
✔ NPI 1013281484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in OR · D8836
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

8910 N KELLOGG ST, Portland, OR 97203
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NICHOLAS RYAN MELLUM DMD
Dentist (General Practice)
8910 N KELLOGG ST
PORTLAND, OR 97203
Multnomah County (503) 286-4492
MICHAEL D. MELLUM, DMD PC
Dentist (General Practice)
8910 N KELLOGG ST
PORTLAND, OR 97203
Multnomah County (503) 286-4492
DR. MICHAEL D. MELLUM D.M.D.
Dentist (General Practice)
8910 N KELLOGG ST
PORTLAND, OR 97203
Multnomah County (503) 286-4492

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nick R. Mellum Dmd PC's NPI number?

The NPI number for Nick R. Mellum Dmd PC is 1013281484. It was assigned to this organization in the NPPES registry on March 2, 2012.

Where is Nick R. Mellum Dmd PC located?

Nick R. Mellum Dmd PC is located at 8910 N Kellogg St, Portland, OR 97203. The listed phone number is (503) 286-4492.

What is Nick R. Mellum Dmd PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Nick R. Mellum Dmd PC was last updated on March 2, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.