| Doctor Name: | MRS. MELANIE M KABOT-STUROS |
| NPI Number: | 1346531860 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PMHNP |
| License Number: | 200642237RN |
| Business Practice Address: | 11160 Highway 62 Suite B Eagle Point, OR - 975247946 |
| Business Phone Number: | 5418260899 |
| Business Fax Number: | 5418262234 |
| Mailing Address: | Po Box 503010, WHITE CITY |
| State: | OR |
| Postal Code: | 975030813 |
| Phone Number: | 5419417792 |
| Fax Number: | 5034194662 |
| NPI Enumeration Date: | 05/02/2011 |
| NPI Last Update Date: | 10/02/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0807X |
| License Number: | 200642237RN |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OR |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health, Child & Adolescent |
| Taxonomy Definition: | |