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:
Health care specialties
| Specialty | Code | License # | 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 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043214471 | NPPES |
| Oregon | MEDICAID | 081075 |
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