Individual
MELISSA MISLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(360) 256-0556
Mailing address
225 E DARTMOUTH ST, GLADSTONE, OR 97027-2437
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDD10172491
OR
Other
Enumeration date
10/04/2017
Last updated
10/04/2017
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