Individual
MELISA LOUISE ABESA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3270 LIBERTY RD S, SALEM, OR 97302
(503) 371-0779
(503) 371-0886
Mailing address
3270 LIBERTY RD S, SALEM, OR 97302
(503) 371-0779
(503) 371-0886
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60623
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0327643
WA L&I
OR
05
—
500672729
—
OR
01
—
P01528690
RR MEDICARE
OR
01
—
P01676405
RR MEDICARE
OR
Enumeration date
06/06/2014
Last updated
04/18/2018
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