Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Melinda Mae Mantooth, DO

Individual provider Internal Medicine Physician · NPI 1639708175

Melinda Mae Mantooth, DO is a Hospitalist in Portland, Oregon. Graduated from Pacific NW Un of Hs, Col of Osteopathic Medicine in 2020, 6 years ago. Practices with Providence Health and Services Oregon, a 164-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Oregon and Washington.

Years since qualifying
6
Trained at
Pacific NW Un of Hs, Col of Osteopathic Medicine
Licensed in
OR, WA
In the registry since
2020
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

2801 N Gantenbein Ave
Portland, OR 97227-1623
Phone: (503) 413-8407
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1615 Delaware St, Longview, WA 98632-2367 — (360) 501-3601
  • 1415 E Kincaid St, Mount Vernon, WA 98274-4126 — (360) 814-2115

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence DO217033 (OR)
Internal Medicine Physician Taxonomy 207R00000X · Licence OP61477654 (WA)
Internal Medicine Physician Taxonomy 207R00000X · Licence DO217033 (OR)

Record details

NPI number1639708175
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 6, 2020
Last updated in NPPESOctober 17, 2025
Certification dateOctober 17, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHOSPITALIST
Also practisesINTERNAL MEDICINE
Medical schoolPACIFIC NW UN OF HS, COL OF OSTEOPATHIC MEDICINE
Graduated 2020 (6 years in practice)
Group practice Providence Health And Services Oregon — 164 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Portland