Search › Oregon › 171100000X
Melissa Bautista, MACOM, LAC
NPI 1760194534 · on the registry since 2022 · sole proprietor
Practice
- Address
- 833 Se Main St Ste 323
Portland, OR 97214 - Phone
- (503) 894-0064
- Organisation at this address
- Wildwood Electrolysis Llc
Absolute Balance Bodywork LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 16
Additional practice sites
- 524 Se 14th Ave, Portland, OR
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-12-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon