Individual
MELODY POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 APPLE BLOSSOM AVE N, KEIZER, OR 97303-6007
(503) 310-4274
Mailing address
300 APPLE BLOSSOM AVE N, KEIZER, OR 97303-6007
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/24/2017
Last updated
04/24/2017
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