| Woodstock Family Medicine Llc | |
|
5536 Se Woodstock Blvd Portland OR 97206-6829 | |
| (503) 236-1830 | |
| (503) 236-1908 |
| Full Name | Woodstock Family Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 5536 Se Woodstock Blvd, Portland, Oregon |
| Authorized Official Name and Position | Melanie J Smythe (PROVIDER) |
| Authorized Official Contact | 5032361830 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodstock Family Medicine Llc 5536 Se Woodstock Blvd Portland OR 97206-6829 Ph: (503) 236-1830 | Woodstock Family Medicine Llc 5536 Se Woodstock Blvd Portland OR 97206-6829 Ph: (503) 236-1830 |
| NPI Number | 1003055237 |
|---|---|
| Provider Enumeration Date | 02/11/2009 |
| Last Update Date | 02/11/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003055237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Oregon) | Primary |
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