DR. Michael D. Mellum, D.M.D.

NPI #1861481848 in Portland, Oregon

Provider Information

NPI Number
1861481848
Entity Type
Individual
Name
DR. Michael D. Mellum, D.M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
D.M.D.
Enumeration Date
Oct 21, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
8910 N KELLOGG ST
State
Oregon
ZIP Code
97203-3002
Phone
(503) 286-4492

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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