Individual
MELODY MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
16144 SE HAPPY VALLEY TOWN CENTER DR STE 214, HAPPY VALLEY, OR 97086-4257
(503) 658-7715
Mailing address
3531 SE 63RD AVE, PORTLAND, OR 97206-2737
(503) 995-4939
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC201406
OR
Other
Enumeration date
10/07/2020
Last updated
10/07/2020
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