Individual
MISS MELODY LYNNE SHORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
2232 NW PETTYGROVE ST, PORTLAND, OR 97210-2608
(503) 552-1552
(503) 827-8460
Mailing address
3811 E MCLOUGHLIN BLVD, VANCOUVER, WA 98661-5451
(503) 422-6473
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
00906
OR
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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