Provider Demographics
NPI:1023447828
Name:MCGEE, MELODY (RDH)
Entity type:Individual
Prefix:
First Name:MELODY
Middle Name:
Last Name:MCGEE
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:195 JESSICA DR
Mailing Address - Street 2:
Mailing Address - City:FOREST GROVE
Mailing Address - State:OR
Mailing Address - Zip Code:97116-1296
Mailing Address - Country:US
Mailing Address - Phone:503-359-4147
Mailing Address - Fax:
Practice Address - Street 1:2716 STRASBURG DR
Practice Address - Street 2:
Practice Address - City:FOREST GROVE
Practice Address - State:OR
Practice Address - Zip Code:97116-2270
Practice Address - Country:US
Practice Address - Phone:503-359-4147
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-02
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORH6584124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist