Healthcare Provider Details

I. General information

NPI: 1841443116
Provider Name (Legal Business Name): MELANIE ANN LOREE LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MELANIE ANN WESTBROOK MSW

II. Dates (important events)

Enumeration Date: 10/29/2008
Last Update Date: 01/30/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2730 PACIFIC BLVD SE
ALBANY OR
97321-5075
US

IV. Provider business mailing address

3015 BEACON ST NE
SALEM OR
97301-8519
US

V. Phone/Fax

Practice location:
  • Phone: 541-451-5932
  • Fax: 541-258-5704
Mailing address:
  • Phone: 541-409-1514
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberL5210
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: