Whalio Doctors

NPI 1003995945

Melissa Beth Buboltz, MD

Practitioner Psychiatry Physician Portland, OR

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
Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence MD26388 (OR)

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.