MRS. MELISSA ANNE KETRENOS L.M.T. NPI 1598095101

NPI Information

  • NPI: 1598095101
  • Provider Name: MRS. MELISSA ANNE KETRENOS, L.M.T.
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • Address: 9045 SW BARBUR BLVD
    SUITE 107
    PORTLAND, OR
    ZIP 97219
  • Phone: (503) 679-9719

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NPI Details

MRS. Melissa Anne Ketrenos, L.M.T. is a specialist in Portland, OR. The provider is 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. MRS. Melissa Anne Ketrenos, L.M.T. NPI is 1598095101. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9045 SW BARBUR BLVD
SUITE 107
PORTLAND, OR
ZIP 97219-021
Phone: (503) 679-9719

The enumeration date for this NPI number is 1/4/2010 and was last updated on 1/4/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1173C00000XReflexologist15460OREGONNo
2174400000XSpecialist15460OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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