Organization
MELZER & BRECKENRIDGE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS C. MELZER O.D. (OWNER)
(503) 253-7278
Entity
Organization
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
402569
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020201
—
OR
Enumeration date
11/14/2006
Last updated
01/10/2011
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