Basic Information
| Provider Information | |||||||||
| NPI: | 1194158212 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MEE | ||||||||
| FirstName: | MERCEDES | ||||||||
| MiddleName: | E. | ||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | RN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5880 SE SNOWBERRY CT | ||||||||
| Address2: | |||||||||
| City: | HILLSBORO | ||||||||
| State: | OR | ||||||||
| PostalCode: | 971236599 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5037465004 | ||||||||
| FaxNumber: | 5037465004 | ||||||||
| Practice Location | |||||||||
| Address1: | 7320 SW HUNZIKER ST | ||||||||
| Address2: | SUITE 203 | ||||||||
| City: | TIGARD | ||||||||
| State: | OR | ||||||||
| PostalCode: | 972238283 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8883171019 | ||||||||
| FaxNumber: | 8883171020 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/12/2013 | ||||||||
| LastUpdateDate: | 08/12/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | RN60118846 | WA | Y | Nursing Service Providers | Registered Nurse | 163W00000X | 200742782RN | OR | N | Nursing Service Providers | Registered Nurse |
No ID Information.