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1003995945
MELISSA BETH BUBOLTZ
PORTLAND, OR
NPI
1003995945
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: OR MD26388)
Enumeration Date
2006-11-02
Last Update Date
2007-07-08
Business Address
Dr. MELISSA BETH BUBOLTZ M.D.
3181 SW SAM JACKSON PARK RD UHN 80
PORTLAND, OR 97239-3011
Phone number: 503-494-8311
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Mailing Address
Dr. MELISSA BETH BUBOLTZ M.D.
5156 SW MULTNOMAH BLVD UNIT K
PORTLAND, OR 97219-3372
Phone number: 503-977-7903
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