Individual
MELISSA MANEGOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
648 SE HARLOW AVE, TROUTDALE, OR 97060-2164
(503) 665-4182
Mailing address
1204 NE 201ST AVE, FAIRVIEW, OR 97024-2499
(661) 720-0503
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
012817
OR
Other
Enumeration date
09/20/2024
Last updated
09/20/2024
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