Melanie J Block, LD

Primary specialty

DenturistTaxonomy code 122400000X

License

DTDO317601 Issued in OR

Practice address

1584 NE 8TH St Ste 208
Gresham, OR 97030-5746

Phone

(503) 230-0207

Fax

(503) 230-0208

NPI assigned

Dec 27, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1356406342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1584 NE 8TH ST STE 208",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970305746",
            "telephone_number": "503-230-0207",
            "fax_number": "503-230-0208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1584 NE 8TH ST STE 208",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970305746",
            "telephone_number": "503-230-0207",
            "fax_number": "503-230-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOCK",
        "first_name": "MELANIE",
        "middle_name": "J",
        "credential": "LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "",
            "desc": "Denturist",
            "state": "OR",
            "license": "DTDO317601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269892",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Gaulke Blackwood, LAC
• Brian Matthew Blair, M.D.
• Erica S Blair, LMT
• Ruth Marian Blake, PT
• Jared Block, PHARMD
• Stephen Matthew Block, DPT
• Blue Lake Oral and Maxillofacial Surgery, PC
• Jeremy Patrick Boal, LCSW
• Bodies in Balance Chiropractic LLC
• Bodywork Massage Inc.

• Denturist in Gresham, OR
• Providers in Gresham, OR by specialty
• Denturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.