Most Relevant Information
Provider Data
| NPI Number: | 1003364860 |
| Provider Name: | MELISSA SMITH |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | RPH0015540 |
Most Important Dates
| Enumeration Date: | 09/21/2016 |
| Last Updated: | 09/21/2016 |
Provider Practice Location
232 NW 6TH AVE
PORTLAND
OR
972093609
Practice Location Phone/Fax
| Phone: | 5039444465 |
| Fax: |
Provider Mailing Location
232 NW 6TH AVE
PORTLAND
OR
972093609
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |