Individual
REBECCA L MELLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2435 GREENWAY DR NE, SALEM, OR 97301-4535
(503) 798-8469
Mailing address
PO BOX 4182, SALEM, OR 97302-8182
(503) 798-8469
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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