Individual
MELANIE MISENHEIMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1804 NE MLK JR BLVD STE A-B, PORTLAND, OR 97212-3980
(971) 302-6614
Mailing address
10909 SW BOONES FERRY RD UNIT B, PORTLAND, OR 97219-7725
(704) 995-9926
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC164953
OR
Other
Enumeration date
11/02/2013
Last updated
11/02/2013
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