Individual
MRS. MELANIE ANNE MELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
18813 WILLAMETTE DR, WEST LINN, OR 97068-1711
(503) 621-2058
Mailing address
18813 WILLAMETTE DR, WEST LINN, OR 97068-1711
(503) 621-2058
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11662
OR
Other
Enumeration date
02/20/2007
Last updated
04/02/2014
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