OrganizationActive
Nick R. Mellum DMD PC
NPI 1013281484 · General Practice Dentistry · Portland, OR
Nick R. Mellum DMD PC is a General Practice Dentistry organization in Portland, OR (NPI 1013281484).
Provider details
- NPI number
- 1013281484
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Nick Mellum, Dentist(503) 286-4492
- License
- D8836 (OR)
Practice location
8910 N Kellogg St
Portland, OR 97203-3002
Phone: (503) 286-4492
Street-level locationGet directions
Mailing address
8910 N Kellogg St
Portland, OR 97203-3002
Registry dates
- Enumerated
- 2012-03-02
- Last updated
- 2012-03-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.