Individual
MELINDA ROSE MALLEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3 MONROE PKWY STE U, LAKE OSWEGO, OR 97035-8875
(503) 387-3205
Mailing address
4920 SW LANDING DR APT 206, PORTLAND, OR 97239-5985
(503) 989-9954
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
24347
OR
Other
Enumeration date
04/09/2019
Last updated
04/09/2019
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