Individual
MELE KALI SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12305 SW BELL CT, TIGARD, OR 97223-1820
(503) 702-6442
Mailing address
12305 SW BELL CT, TIGARD, OR 97223-1820
(503) 702-6442
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6062
OR
Other
Enumeration date
08/22/2019
Last updated
08/22/2019
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