Individual
JUSTIN MELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11782 SW BARNES RD STE 300, PORTLAND, OR 97225-5933
(503) 258-0717
Mailing address
12518 NE AIRPORT WAY STE 110, PORTLAND, OR 97230-1090
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60799
OR
Other
Enumeration date
09/30/2014
Last updated
08/04/2023
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