Individual provider · Type 1 NPI

Melanie Ruth Bissonnette, LMT

Specialist · Portland, OR

NPI number 1508057878 Active

Practice location

8532 N Ivanhoe St, Suite 201
Portland, OR 97203-4827

Call (503) 267-0853 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X11999 (OR)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1508057878

Melanie Ruth Bissonnette, LMT's National Provider Identifier is 1508057878, issued on Aug 2, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Portland, OR. The record was last updated on Jan 23, 2016.