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Individual

MELISSA HEDSTROM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS NTP

Contact information

Practice address
5423 MONTEREY DR SE, SALEM, OR 97306-8800
(503) 983-4744
Mailing address
5423 MONTEREY DR SE, SALEM, OR 97306-8800
(503) 983-4744

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
174H00000X
Health Educator
Primary

Other

Enumeration date
07/02/2013
Last updated
07/02/2013
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