DR. MICHAEL D. MELLUM D.M.D.
NPI 1861481848
Dentist - General Practice in Portland, OR

Active since October 21, 2005
8910 N KELLOGG ST, PORTLAND, OR 97203(503) 286-4492 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Michael D. Mellum D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL D. MELLUM D.M.D. (NPI 1861481848) is an individual general practice provider in Portland, Oregon, licensed in Oregon (4750) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1861481848
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MICHAEL D. MELLUMCredential: D.M.D.
Location Address8910 N KELLOGG STPortland, OR 97203-3002
Mailing Address8910 N Kellogg StPortland, OR 97203-3002 · (503) 286-4492
Sole ProprietorNo
Enumeration DateOctober 21, 2005
Last NPPES UpdateJuly 8, 2007
NPI 1861481848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in OR · 4750
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

8910 N KELLOGG ST, Portland, OR 97203

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
8910 N KELLOGG ST
PORTLAND, OR 97203
Dentist (General Practice)
8910 N KELLOGG ST
PORTLAND, OR 97203
Dentist (General Practice)
8910 N KELLOGG ST
PORTLAND, OR 97203

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Mellum's NPI number?

The NPI number for Michael Mellum is 1861481848. It was assigned to this individual provider in the NPPES registry on October 21, 2005.

Where is Michael Mellum located?

Michael Mellum practices at 8910 N Kellogg St, Portland, OR 97203. The listed phone number is (503) 286-4492.

What is Michael Mellum's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Michael Mellum was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.