Individual
MELISSA ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
501 N DIXON ST, PORTLAND, OR 97227-1876
(503) 916-2000
Mailing address
5518 SE 47TH AVE, PORTLAND, OR 97206-5752
(503) 737-4242
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
012538
OR
Other
Enumeration date
06/21/2024
Last updated
06/21/2024
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