Provider Demographics
NPI:1487270575
Name:WHITMAN, MELISSA ANNE (DO)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:ANNE
Last Name:WHITMAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2549 NW FAIRLAWN ST
Mailing Address - Street 2:
Mailing Address - City:CORVALLIS
Mailing Address - State:OR
Mailing Address - Zip Code:97330-1522
Mailing Address - Country:US
Mailing Address - Phone:301-467-4061
Mailing Address - Fax:
Practice Address - Street 1:3640 NW SAMARITAN DR STE 210
Practice Address - Street 2:
Practice Address - City:CORVALLIS
Practice Address - State:OR
Practice Address - Zip Code:97330-3787
Practice Address - Country:US
Practice Address - Phone:541-768-5810
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-24
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR224148207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease