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Contact Information

MELISA L ABESA
3270 LIBERTY RD S
SALEM, OR97302
 Phone: 503-371-0779
 Fax: 503-371-0886
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for MELISA L ABESA · (Female)

NPI Number 1295148203
Status Active
Credentials
Entity Individual
Enumeration date 06/06/2014
Last updated 04/18/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • OR License # 60623
  • OR Medicaid 500672729
  • OR Other P01528690 RR MEDICARE
  • OR Other P01676405 RR MEDICARE
  • OR Other 0327643 WA L&I
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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