Organization · Type 2 NPI

Michael D. Mellum, DMD PC

General Practice Dentistry · Portland, OR

NPI number 1407062128 Active

About NPI 1407062128

Michael D. Mellum, DMD PC's National Provider Identifier is 1407062128, issued on May 16, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Portland, OR. The record was last updated on Aug 22, 2020.