Individual
MELISSA HAECKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MELISSA HAECKEL
Contact information
Practice address
1355 SOUTH HEMLOCK STREET, CANNON BEACH, OR 97138
(503) 436-2255
Mailing address
PO BOX 31, NEHALEM, OR 97131-0031
(503) 729-8150
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14599
OR
Other
Enumeration date
05/12/2011
Last updated
05/12/2011
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