Individual
GREGORY B MELBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1620 E 12TH ST, THE DALLES, OR 97058-3213
(541) 296-9151
(541) 296-9156
Mailing address
1620 E 12TH ST, THE DALLES, OR 97058-3213
(541) 296-9151
(541) 296-9156
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD24292
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
226912
—
OR
Enumeration date
11/18/2005
Last updated
07/17/2007
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