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DR. LAURA MELLICK MD
NPI 1851354872
General Practice in Portland, OR

Active since April 10, 2006
25 NW 23RD PL, SUITE 11, PORTLAND, OR 97210(503) 305-6262(503) 305-6078 Get Directions Write a Review

NPPES record last updated: September 6, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Laura Mellick Md NPPES

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

DR. LAURA MELLICK MD (NPI 1851354872) is an individual general practice provider in Portland, Oregon, licensed in Oregon (MD17993) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1851354872
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameDR. LAURA MELLICKCredential: MD
Location Address25 NW 23RD PL, SUITE 11Portland, OR 97210-5580
Mailing AddressPo Box 5275Portland, OR 97208-5275 · (888) 828-3196
Phone(503) 305-6262
Fax(503) 305-6078
Sole ProprietorNo
Enumeration DateApril 10, 2006
Last NPPES UpdateSeptember 6, 2012
✔ NPI 1851354872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in OR · MD17993
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedEmergency MedicineTaxonomy 207P00000X · License MD17993 (OR)
25 NW 23RD PL, Portland, OR 97210
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Other Identifiers 8

Medicaid8182214WA
Medicare UPINF09268
Medicare PINR143152OR
Other208975Wa L & I
Medicaid057252OR
Medicare PINP00232006OR
Medicare PINR132022
Other858543007Regence Bc/bs

Other Providers at the Same Location NPPES 4

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

UPTOWN PROVIDERS PC
General Practice
25 NW 23RD PL, STE 11
PORTLAND, OR 97210
Multnomah County (503) 305-6262
KELSEY SELENE PETERSON WOLFE M.D.
Emergency Medicine
25 NW 23RD PL
PORTLAND, OR 97210
Multnomah County (503) 305-6262
DR. LORI LYNN GROSS M.D., M.P.H.
Preventive Medicine (Occupational Medicine)
25 NW 23RD PL, SUITE 6, #324
PORTLAND, OR 97210
Multnomah County (360) 574-4795
JOSEPH MOHR PA-C
Physician Assistant
25 NW 23RD PL
PORTLAND, OR 97210
Multnomah County (503) 305-6262

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 Laura Mellick's NPI number?

The NPI number for Laura Mellick is 1851354872. It was assigned to this individual provider in the NPPES registry on April 10, 2006.

Where is Laura Mellick located?

Laura Mellick practices at 25 NW 23rd Pl Suite 11, Portland, OR 97210. The listed phone number is (503) 305-6262.

What is Laura Mellick's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Laura Mellick was last updated on September 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.