NPI 1003995945
Melissa Beth Buboltz, MD
Practice location
- Address
- 3181 SW Sam Jackson Park Rd Uhn 80, Portland, OR 97239-3011
- Phone
- (503) 494-8311
- Mailing address
- 5156 SW Multnomah Blvd Unit K, Portland, OR 97219-3372
Registered specialties
Psychiatry Physician
Primary
Registry record
- NPI
- 1003995945
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 2 Nov 2006
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.