Individual
DR. MEL G MACPHEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1201 SE 223RD AVE STE 160, GRESHAM, OR 97030-2577
(503) 492-2020
(503) 465-6825
Mailing address
1201 SE 223RD AVE STE 160, GRESHAM, OR 97030-2577
(503) 492-2020
(503) 465-6825
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1647T
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
290163
—
OR
Enumeration date
12/12/2006
Last updated
07/09/2007
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