MELISSA SWAN

PORTLAND, OR
NPI1962078402
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  T-20-467)
Enumeration Date2021-06-03
Last Update Date2021-06-03
Business Address
MELISSA SWAN
7916 SE FOSTER RD STE 201
PORTLAND, OR 97206-4289
Phone number: 503-290-8850
Mailing Address
MELISSA SWAN
PO BOX 16576
PORTLAND, OR 97292-0576
Phone number: