Individual
MELISSA ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4515 SW CORBETT AVE, PORTLAND, OR 97239-4289
(503) 224-5464
Mailing address
4515 SW CORBETT AVE, PORTLAND, OR 97239-4289
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13617
OR
Other
Enumeration date
02/17/2018
Last updated
02/17/2018
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