Individual provider · Type 1 NPI

Melissa Anne Ketrenos, L.M.T.

Specialist · Portland, OR

NPI number 1598095101 Active

Practice location

9045 SW Barbur Blvd, Suite 107
Portland, OR 97219-4021

Call (503) 679-9719 Map

Specialties and licenses

TaxonomyCodeLicense
Reflexologist 173C00000X15460 (OR)
Specialist Primary 174400000X15460 (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 1598095101

Melissa Anne Ketrenos, L.M.T.'s National Provider Identifier is 1598095101, issued on Jan 4, 2010. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Portland, OR. The record was last updated on Jan 4, 2010.