Individual
MELISSA CHENOWETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6801 SE 60TH AVE, PORTLAND, OR 97206-7520
(503) 916-5817
Mailing address
501 N DIXON ST, PORTLAND, OR 97227-1804
(503) 916-5817
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
011989
OR
Other
Enumeration date
06/12/2024
Last updated
06/12/2024
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