Individual
MELANIE J SMYTHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
5536 SE WOODSTOCK BLVD, PORTLAND, OR 97206-6829
(503) 236-1830
(503) 236-1908
Mailing address
5536 SE WOODSTOCK BLVD, PORTLAND, OR 97206-6829
(503) 236-1830
(844) 896-9137
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO19987
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
081075
—
OR
Enumeration date
06/13/2005
Last updated
10/10/2019
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