Individual
MELODY PACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
827 NE ALBERTA ST, PORTLAND, OR 97211-4578
(512) 656-6804
Mailing address
5301 NE 16TH AVE, PORTLAND, OR 97211-4909
(512) 656-6804
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21723
OR
Other
Enumeration date
05/25/2016
Last updated
05/25/2016
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