Individual
MELISSA DANIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7555 SW HERMOSO WAY STE 120, TIGARD, OR 97223-8684
(503) 746-6095
Mailing address
15161 SW ROYALTY PKWY APT F16, TIGARD, OR 97224-3940
(336) 239-8486
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
23113
OR
Other
Enumeration date
11/15/2018
Last updated
11/15/2018
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