Individual
MELISSA ANN WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1971 NW OVERTON ST, PORTLAND, OR 97209-1618
(971) 302-6171
Mailing address
1971 NW OVERTON ST, PORTLAND, OR 97209-1618
(540) 354-5374
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC213797
OR
Other
Enumeration date
11/15/2022
Last updated
01/17/2023
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