MEDICARE: MELISSA OESER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1881332310
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA OESER

Provider Business Mailing Address
First Line	:	PO BOX 578
Second Line	:
City	:	TROUTDALE
State	:	OR
Zip	:	97060-0578
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1307 NE 102ND AVE STE Y-1
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97220-3980
Country	:	US
Telephone Number	:	971-270-0913
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2022
Last Update Date	:	05/24/2022

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Directions to “ MELISSA OESER ” Practice Location

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