| Melanie J Smythe Do, Pc | |
|
5536 Se Woodstock Blvd Portland OR 97206-6829 | |
| (503) 236-1830 | |
| (503) 236-1908 |
| Full Name | Melanie J Smythe Do, Pc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 5536 Se Woodstock Blvd, Portland, Oregon |
| Authorized Official Name and Position | Melanie J Smythe (PRESIDENT/PROVIDER) |
| Authorized Official Contact | 5032361830 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Melanie J Smythe Do, Pc 5536 Se Woodstock Blvd Portland OR 97206-6829 Ph: (503) 236-1830 | Melanie J Smythe Do, Pc 5536 Se Woodstock Blvd Portland OR 97206-6829 Ph: (503) 236-1830 |
| NPI Number | 1043625866 |
|---|---|
| Provider Enumeration Date | 07/01/2014 |
| Last Update Date | 07/01/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043625866 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | DO19987 (Oregon) | Primary |
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