Individual
MRS. MELANIE DAWN MCCLURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
306 SOUTH 6TH STREET, KLAMATH FALLS, OR 97601
(541) 887-7362
(541) 273-2486
Mailing address
306 SOUTH 6TH STREET, KLAMATH FALLS, OR 97601
(541) 887-7362
(541) 273-2486
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
1053214
OR
225XP0200X
Pediatric Occupational Therapist
2002023104
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
475904736
—
MO
Enumeration date
03/20/2007
Last updated
09/01/2016
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