Mellum, Michael D.
Mellum, Michael D. is an individual health care provider with primary practice located at 8910 N Kellogg St , Portland OR 97203-3002. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Mellum, Michael D. can be contacted via phone (503) 286-4492.Contact Information
Primary practice address
8910 N Kellogg St
Portland OR 97203-3002
Phone: (503) 286-4492
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 4750 | Oregon |
Profile Details
| NPI number | 1861481848 |
|---|---|
| LBN Legal business name | Mellum, Michael D. |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 21st, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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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