MELANIE J SMYTHE DO, PC
Ambulatory Health at Woodstock Blvd, Portland, OR

License number
Oregon DO19987
Category
Ambulatory Health
Type
Primary Care
Owner
Name: MELANIE J SMYTHE D.O.
Title: PRESIDENT/PROVIDER
Phone: (503) 236-1830
Address
Address
5536 SE Woodstock Blvd, Portland, OR 97206
National Provider ID: 1043625866
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MELANIE J. SMYTHE, D.O., PC

5536 SE Woodstock Blvd, Portland, OR 97206

Registration:
Jul 3, 1996
State ID:
52537389
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Agent:
Melanie Smythe,5536 SE Woodstock Blvd, Portland, OR 97206 (Physical)

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