Individual
MRS. MELISSA SUE BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC I
Contact information
Practice address
17214 SE DIVISION ST, PORTLAND, OR 97236-1282
(503) 761-5272
Mailing address
14600 NW CORNELL RD, PORTLAND, OR 97229-5442
(503) 645-3581
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/12/2012
Last updated
03/12/2012
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