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Individual

MELLET R ROMERO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
525 SE WASHINGTON ST, DALLAS, OR 97338-2834
(503) 623-8301
Mailing address
525 SE WASHINGTON ST, DALLAS, OR 97338-2834
(503) 623-8301

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05621
OR
225100000X
Physical Therapist
PT008003
GA

Other

Enumeration date
08/14/2008
Last updated
12/27/2023
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