Smythe, Melanie J

Smythe, Melanie J is an sole proprietor health care provider with primary practice located at 5536 Se Woodstock Blvd , Portland OR 97206-6829. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Smythe, Melanie J can be contacted via phone (503) 236-1830.

Contact Information

Primary practice address
5536 Se Woodstock Blvd Portland OR 97206-6829
Phone: (503) 236-1830
Fax: (503) 236-1908
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DO19987 Oregon

Profile Details

NPI number 1043214471
LBN Legal business name Smythe, Melanie J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2005
Last updated Oct 10th, 2019 - about 5 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 1043214471 NPPES
Oregon MEDICAID 081075

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