Individual
MS. MARGRET LEE MELLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2829 NE DUNCKLEY ST, PORTLAND, OR 97212-1647
(503) 308-1014
Mailing address
2829 NE DUNCKLEY ST, PORTLAND, OR 97212-1647
(503) 308-1014
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14426
OR
Other
Enumeration date
07/09/2013
Last updated
07/09/2013
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