Individual provider · NPI-1

Melissa Abraham, LMT

Massage Therapist · Portland, OR

NPI number1306346267
StatusActive
Last updated in NPPESFeb 17, 2018

Details

NPI
1306346267
Entity type
Individual (NPI-1)
Name
Melissa Abraham
Credential
LMT
Sex
Female
Sole proprietor
No
Enumeration date
Feb 17, 2018
Last updated
Feb 17, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist13617ORYes

Practice location

4515 Sw Corbett Ave
Portland, OR 97239-4289

Phone 503-224-5464

Mailing address

4515 Sw Corbett Ave
Portland, OR 97239-4289

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