Provider Demographics
NPI:1427120039
Name:MELOCHE, LINDA (ND, LAC)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:MELOCHE
Suffix:
Gender:F
Credentials:ND, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6677 NE ABBEY RD
Mailing Address - Street 2:
Mailing Address - City:CARLTON
Mailing Address - State:OR
Mailing Address - Zip Code:97111-9570
Mailing Address - Country:US
Mailing Address - Phone:503-864-3753
Mailing Address - Fax:
Practice Address - Street 1:12125 PENNY LN
Practice Address - Street 2:
Practice Address - City:CARLTON
Practice Address - State:OR
Practice Address - Zip Code:97111-9500
Practice Address - Country:US
Practice Address - Phone:503-864-4797
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2022-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORAC00091171100000X
OR0690175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No171100000XOther Service ProvidersAcupuncturist