Organization
MELISSA YEARY LPC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA J YEARY LPC (OWNER/ORGANIZER)
(503) 451-3732
Entity
Organization
Contact information
Practice address
3234 NE WASCO ST, SUITE D, PORTLAND, OR 97232-1981
(503) 451-3732
Mailing address
5431 SE WILLOW ST, MILWAUKIE, OR 97222-4253
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
C4446
OR
Other
Enumeration date
04/07/2017
Last updated
04/07/2017
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