Individual
MELISSA RAE CERRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
402 NE 165TH AVE # 26, PORTLAND, OR 97230-5818
(719) 351-1266
Mailing address
402 NE 165TH AVE # 26, PORTLAND, OR 97230-5818
(719) 351-1266
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
09/13/2017
Last updated
07/21/2022
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