Provider Demographics
NPI:1427491125
Name:SANTILLI, MELISSA GILES (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:GILES
Last Name:SANTILLI
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MISS
Other - First Name:MELISSA
Other - Middle Name:LOUISE
Other - Last Name:GILES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:3733 NW SIERRA DR
Mailing Address - Street 2:
Mailing Address - City:CAMAS
Mailing Address - State:WA
Mailing Address - Zip Code:98607-7363
Mailing Address - Country:US
Mailing Address - Phone:408-230-2007
Mailing Address - Fax:
Practice Address - Street 1:9414 NE FOURTH PLAIN BLVD
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98662-6109
Practice Address - Country:US
Practice Address - Phone:360-892-5142
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-11
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12700225X00000X
WA61320441225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist