Individual
MELISSA KIRBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSED.
Contact information
Practice address
1312 SW WASHINGTON ST, PORTLAND, OR 97205-2327
(503) 535-1127
Mailing address
1312 SW WASHINGTON ST, PORTLAND, OR 97205-2327
(503) 535-1127
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/28/2010
Last updated
04/28/2010
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