Melissa Rister, PT
Physical Therapist in Portland, OR. Individual provider (NPI-1).
NPI number1073040366
StatusActive
Last updated in NPPESAug 27, 2024
Details
- NPI
- 1073040366
- Entity type
- Individual (NPI-1)
- Name
- Melissa Rister
- Credential
- PT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 17, 2017
- Certification date
- Aug 27, 2024
- Last updated
- Aug 27, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
| 208100000X | Physical Medicine & Rehabilitation | 64155 | OR | |
| 225700000X | Massage Therapist | – | – |
Practice location
10340 Se Division StPortland, OR 97266-1269
Phone 503-232-1000
Mailing address
10340 Se Division StPortland, OR 97266-1269
Phone 503-232-1000
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