Individual
MELINDA DEE COREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
161 S ELM ST, SISTERS, OR 97759-1070
(503) 930-2736
Mailing address
1271 NE DAWSON DR UNIT C, BEND, OR 97701-8380
(503) 930-2736
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5351
OR
Other
Enumeration date
12/10/2010
Last updated
12/10/2010
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