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KENNETH P MELVIN, MD, PC
NPI 1255501698
Clinic/Center - Primary Care in Lake Oswego, OR

Active since February 29, 2008
4035 MERCANTILE DR, SUITE 112, LAKE OSWEGO, OR 97035(503) 203-1177(503) 203-1178 Get Directions Write a Review

NPPES record last updated: February 29, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kenneth P Melvin, Md, Pc NPPES

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

KENNETH P MELVIN, MD, PC (NPI 1255501698) is a healthcare organization registered as a primary care in Lake Oswego, Oregon and active in the NPI registry since February 2008. The organization lists Kenneth Paul Melvin, President, as its authorized official.

NPPES Registry Identity

NPI1255501698
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameKENNETH P MELVIN, MD, PC
Location Address4035 MERCANTILE DR, SUITE 112Lake Oswego, OR 97035-2546
Mailing Address4035 Mercantile Dr, Suite 112Lake Oswego, OR 97035-2546 · (503) 203-1177 · Fax (503) 203-1178
Phone(503) 203-1177
Fax(503) 203-1178
Organization SubpartNo
Authorized OfficialKenneth Paul MelvinPresident · (503) 203-1177
Enumeration DateFebruary 29, 2008
✔ NPI 1255501698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in OR · MD24232
4035 MERCANTILE DR, Lake Oswego, OR 97035
Open in Google Maps ↗

Other Identifiers 1

OtherMD24232OR · Oregon License

Other Providers at the Same Location NPPES 13

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

DR. KENNETH PAUL MELVIN MD
Internal Medicine
4035 MERCANTILE DR, SUITE 112
LAKE OSWEGO, OR 97035
Clackamas County (503) 203-1177
TIMOTHY M DENMAN MD
Ophthalmology
4035 MERCANTILE DR, SUITE 216
LAKE OSWEGO, OR 97035
Clackamas County (503) 636-2551
LAKE OSWEGO FAMILY PHYSICIANS
Family Medicine
4035 MERCANTILE DR, SUITE 104
LAKE OSWEGO, OR 97035
Clackamas County (503) 635-1350
MR. ERIK WILLIAM REIS D.C.
Chiropractor (Neurology)
4035 MERCANTILE DR, 112
LAKE OSWEGO, OR 97035
Clackamas County (503) 850-4526
DR. PAULA D KILPATRICK
Internal Medicine
4035 MERCANTILE DR, SUITE 101
LAKE OSWEGO, OR 97035
Clackamas County (503) 697-3001
DR. JEFFREY ERIC MCNALLY D.C.
Chiropractor
4035 MERCANTILE DR, #112
LAKE OSWEGO, OR 97035
Clackamas County (503) 850-4526
THE MEDICAL WELLNESS CLINIC, LLC
Internal Medicine
4035 MERCANTILE DR, SUITE 101
LAKE OSWEGO, OR 97035
Clackamas County (503) 697-3001
DR. ANDREA C. TONGUE M.D.
Ophthalmology
4035 MERCANTILE DR, SUITE 201
LAKE OSWEGO, OR 97035
Clackamas County (503) 635-4436

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 Kenneth P Melvin, MD, PC's NPI number?

The NPI number for Kenneth P Melvin, MD, PC is 1255501698. It was assigned to this organization in the NPPES registry on February 29, 2008.

Where is Kenneth P Melvin, MD, PC located?

Kenneth P Melvin, MD, PC is located at 4035 Mercantile Dr Suite 112, Lake Oswego, OR 97035. The listed phone number is (503) 203-1177.

What is Kenneth P Melvin, MD, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Kenneth P Melvin, MD, PC was last updated on February 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.