Individual
MRS. MELISSA DAWN STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8565 SW BEAVERTON HILLSDALE HWY, SUITE 3, PORTLAND, OR 97225-2433
(503) 805-0508
Mailing address
10865 SW 82ND AVE, TIGARD, OR 97223-8405
(503) 805-0508
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12307
OR
Other
Enumeration date
04/16/2008
Last updated
04/16/2008
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