Provider Demographics
NPI:1235699489
Name:STEIN, MELANIE (ND)
Entity type:Individual
Prefix:DR
First Name:MELANIE
Middle Name:
Last Name:STEIN
Suffix:
Gender:
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6564 SE LAKE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97222-2238
Mailing Address - Country:US
Mailing Address - Phone:503-747-2021
Mailing Address - Fax:503-747-2802
Practice Address - Street 1:6564 SE LAKE RD STE 100
Practice Address - Street 2:
Practice Address - City:MILWAUKIE
Practice Address - State:OR
Practice Address - Zip Code:97222-2238
Practice Address - Country:US
Practice Address - Phone:503-747-2021
Practice Address - Fax:503-747-2802
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-22
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR4240175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty