Individual
MELISSA FRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1221 SW YAMHILL ST STE 301, PORTLAND, OR 97205-2110
(503) 226-7079
(503) 226-1130
Mailing address
5123 SE 58TH AVE, PORTLAND, OR 97206-4835
(503) 841-0204
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L8249
OR
Other
Enumeration date
01/24/2018
Last updated
08/27/2019
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