Individual
MELISSA ROSE IHLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7916 SE FOSTER RD STE 201, PORTLAND, OR 97206-4289
(503) 465-2749
Mailing address
7916 SE FOSTER RD STE 201, PORTLAND, OR 97206-4289
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/25/2021
Last updated
08/28/2025
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