Macphee, Mel G

Macphee, Mel G is an sole proprietor health care provider with primary practice located at 1201 Se 223Rd Ave Ste 160 , Gresham OR 97030-2577. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Macphee, Mel G can be contacted via phone (503) 492-2020.

Contact Information

Primary practice address
1201 Se 223Rd Ave Ste 160 Gresham OR 97030-2577
Fax: (503) 465-6825
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1647T Oregon

Profile Details

NPI number 1790846251
LBN Legal business name Macphee, Mel G
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 12th, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790846251 NPPES
Oregon MEDICAID 290163

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