Individual
MELISSA NOELLE ALEXANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
4200 MERCANTILE DR, LAKE OSWEGO, OR 97035-3597
(503) 305-7762
Mailing address
4417 CORNWALL ST, WEST LINN, OR 97068-3711
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC188451
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AC188451
STATE LICENSE
OR
Enumeration date
11/25/2019
Last updated
11/25/2019
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