Individual
MELISSA JO MIESEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
L AC., LMT.
Contact information
Practice address
1706 NW GLISAN ST, STE 5, PORTLAND, OR 97209-2225
(503) 228-5000
(503) 228-5019
Mailing address
4901 SW FAIRHAVEN DR, PORTLAND, OR 97221-2617
(503) 238-8821
(503) 228-5019
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00695
OR
Other
Enumeration date
06/06/2006
Last updated
07/08/2007
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