Healthcare Provider Details

I. General information

NPI: 1508209040
Provider Name (Legal Business Name): MELINDA FRY BINKLEY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MELINDA CARMICHAEL FRY M.D.

II. Dates (important events)

Enumeration Date: 04/15/2013
Last Update Date: 02/06/2026
Certification Date: 02/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 N INTERSTATE AVE
PORTLAND OR
97227-1106
US

IV. Provider business mailing address

500 NE MULTNOMAH ST STE 100
PORTLAND OR
97232-2031
US

V. Phone/Fax

Practice location:
  • Phone: 800-813-2000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberML60358739
License Number StateWA
# 3
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberMD182958
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: