Individual
MELISSA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
224 AIRPORT RD, SILVERTON, OR 97381
(503) 873-6464
(503) 873-7560
Mailing address
1601 WEBB LAKE DR NE, SILVERTON, OR 97381-2513
(503) 873-8748
(503) 873-7560
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6984
OR
Other
Enumeration date
05/18/2006
Last updated
07/08/2007
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