Individual
MELANIE PSOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
403 NW 140TH PL, BEAVERTON, OR 97006-6159
(503) 808-0981
Mailing address
403 NW 140TH PL, BEAVERTON, OR 97006-6159
(503) 808-0981
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17227
OR
Other
Enumeration date
06/06/2012
Last updated
06/06/2012
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