Individual
MELISSA MCELREATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6510 NE SISKIYOU ST, PORTLAND, OR 97213-4572
(503) 290-4757
(360) 574-3525
Mailing address
PO BOX 398, CORBETT, OR 97019-0398
(503) 334-5455
(360) 574-3525
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
20670
OR
Other
Enumeration date
01/23/2015
Last updated
01/23/2015
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