Individual
MELISSA RISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
10340 SE DIVISION ST, PORTLAND, OR 97266-1269
(503) 232-1000
Mailing address
10340 SE DIVISION ST, PORTLAND, OR 97266-1269
(503) 232-1000
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
64155
OR
225100000X
Physical Therapist
Primary
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
05/17/2017
Last updated
08/27/2024
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