Individual
MELISSA SUZANNE MAYNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
L.AC
Contact information
Practice address
39420 SE GORDON CREEK RD, CORBETT, OR 97019-8750
(503) 695-2977
Mailing address
39420 SE GORDON CREEK RD, CORBETT, OR 97019-8750
(503) 695-2977
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC214618
OR
Other
Enumeration date
04/09/2024
Last updated
04/09/2024
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