Individual
MELANIE MORIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
12367 SW WALNUT ST, PORTLAND, OR 97223-3039
(150) 333-2750
Mailing address
12367 SW WALNUT ST, PORTLAND, OR 97223-3039
(150) 333-2750
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6708
OR
Other
Enumeration date
01/25/2023
Last updated
01/25/2023
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