Individual
MRS. LISA YOUNG MELADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1675 SW MARLOW AVE, SUITE 200, PORTLAND, OR 97225-5104
(503) 228-6479
Mailing address
7036 N WALL AVE, PORTLAND, OR 97203-5152
(317) 201-1103
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12624
OR
Other
Enumeration date
02/07/2007
Last updated
11/05/2007
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