Organization
MELISSA MIESEN, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA JO MIESEN LAC, LMT (PRESIDENT)
(503) 228-5000
Entity
Organization
Contact information
Practice address
913 SW 16TH AVE, PORTLAND, OR 97205-1730
(503) 228-5000
(503) 228-5019
Mailing address
913 SW 16TH AVE, PORTLAND, OR 97205-1730
(503) 228-5000
(503) 228-5019
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
05/14/2008
Last updated
01/22/2013
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