Individual
MELODY ROEDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2101 5TH ST, TILLAMOOK, OR 97141-2330
(503) 354-2170
(541) 833-4053
Mailing address
PO BOX 1180, TILLAMOOK, OR 97141-1180
(503) 354-2170
(541) 833-4053
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7380
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7380
MASSAGE THERAPY LICENSE
—
Enumeration date
12/27/2019
Last updated
12/27/2019
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