Individual
MELISSA J CHERNAIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
12 SE 14TH AVE STE 203, PORTLAND, OR 97214-1404
(503) 473-9314
Mailing address
4848 NE 12TH AVE, PORTLAND, OR 97211-4620
(503) 349-7440
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
R5074
OR
101YP2500X
Professional Counselor
R5074
OR
Other
Enumeration date
01/19/2018
Last updated
08/02/2024
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