Individual
EDEN G. MELESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16707 SE HAIG ST, PORTLAND, OR 97236-1421
(503) 278-6398
Mailing address
16707 SE HAIG ST, PORTLAND, OR 97236-1421
(503) 278-6398
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
PENDING
OR
171R00000X
Interpreter
112422
OR
174H00000X
Health Educator
000000
—
175T00000X
Peer Specialist
PENDING
OR
Other
Enumeration date
03/21/2025
Last updated
03/21/2025
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