Individual
MELISSA ALLRED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4525 N MICHIGAN AVE, PORTLAND, OR 97217-3122
(503) 267-6483
Mailing address
4525 N MICHIGAN AVE, PORTLAND, OR 97217-3122
(503) 267-6483
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18852
OR
Other
Enumeration date
02/03/2017
Last updated
02/03/2017
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