Organization
BODY, HEART &SOUL MASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE ANNA MELLIS LMT (OWNER)
(503) 621-2058
Entity
Organization
Contact information
Practice address
18813 WILLAMETTE DR, WEST LINN, OR 97068-1711
(503) 621-2058
Mailing address
18813 WILLAMETTE DR, WEST LINN, OR 97068-1711
(503) 621-2058
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11662
OR
Other
Enumeration date
04/03/2014
Last updated
04/03/2014
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