Individual
MELAURA WITTEMYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9450 SW BARNES RD, SUITE 100, PORTLAND, OR 97225-6619
(503) 292-9560
(503) 292-9510
Mailing address
9450 SW BARNES RD, SUITE 100, PORTLAND, OR 97225-6619
(503) 292-9560
(503) 292-9510
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD23940
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286570
—
OR
Enumeration date
07/31/2006
Last updated
05/25/2012
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