Individual
DR. DOUGLAS CARL MELZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
13140 NE HALSEY ST, PORTLAND, OR 97230-2350
(503) 253-7278
(503) 253-0279
Mailing address
13140 NE HALSEY ST, PORTLAND, OR 97230-2350
(503) 253-7278
(503) 253-0279
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1931 - AT
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043422
—
OR
01
—
300365202
FIRST CHOICE 65
OR
01
—
810438002
BLUE CROSS
OR
Enumeration date
03/14/2006
Last updated
05/29/2008
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