Individual
KAILA A MELODIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2149 NE BROADWAY ST, PORTLAND, OR 97232-1580
(503) 281-0278
Mailing address
11825 SW GREENBURG RD STE 106, TIGARD, OR 97223-6466
(971) 487-2124
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
28520
OR
Other
Enumeration date
04/11/2025
Last updated
04/11/2025
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