MELISSA KS BAUTISTA

PORTLAND, OR
NPI1760194534
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171100000X Acupuncturist
(Licence: OR  AC208634)
Enumeration Date2022-12-23
Last Update Date2022-12-23
Business Address
MELISSA KS BAUTISTA MAcOM, LAc
833 SE MAIN ST STE 323
PORTLAND, OR 97214-3427
Phone number: 503-894-0064
Mailing Address
MELISSA KS BAUTISTA MAcOM, LAc
3135 SE 89TH AVE
PORTLAND, OR 97266
Phone number: 971-226-3539