Individual
MELISSA E CHILDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1217 NW BURNSIDE RD STE 701, GRESHAM, OR 97030
(541) 880-8233
Mailing address
2700 W POWELL BLVD APT E236, GRESHAM, OR 97030-6514
(541) 880-8233
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21590
OR
Other
Enumeration date
08/17/2015
Last updated
08/17/2015
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