Individual
BILLIE JO KAE MELCHOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4927 NE 30TH AVE, PORTLAND, OR 97211-7007
(503) 839-5396
(503) 335-6258
Mailing address
4927 NE 30TH AVE, PORTLAND, OR 97211-7007
(503) 281-0681
(503) 335-6258
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21609
OR
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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