MELINDA MAE MANTOOTH

PORTLAND, OR
NPI1639708175
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208M00000X Hospitalist
(Licence: OR  DO217033)
Additional Taxonomies207R00000X Internal Medicine
(Licence: WA  OP61477654)
207R00000X Internal Medicine
(Licence: OR  DO217033)
Enumeration Date2020-04-06
Last Update Date2025-10-17
Business Address
MELINDA MAE MANTOOTH DO
2801 N GANTENBEIN AVE
PORTLAND, OR 97227-1623
Phone number: 503-413-8407
Mailing Address
MELINDA MAE MANTOOTH DO
PO BOX 3777
PORTLAND, OR 97208-3777
Phone number: