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Individual

MS. MELISSA L. GROSSMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., L.P.C.

Contact information

Practice address
2929 SW MULTNOMAH BLVD, SUITE305, PORTLAND, OR 97219-4025
(503) 788-7997
Mailing address
2929 SW MULTNOMAH BLVD, SUITE305, PORTLAND, OR 97219-4025
(503) 788-7997

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC C1574
OR

Other

Enumeration date
11/10/2009
Last updated
11/10/2009
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