Provider Demographics
NPI:1932948353
Name:HIGBEE, MELAINE K
Entity type:Individual
Prefix:
First Name:MELAINE
Middle Name:K
Last Name:HIGBEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1635 SW CHAPMAN CT
Mailing Address - Street 2:
Mailing Address - City:TROUTDALE
Mailing Address - State:OR
Mailing Address - Zip Code:97060-2197
Mailing Address - Country:US
Mailing Address - Phone:503-704-8311
Mailing Address - Fax:
Practice Address - Street 1:1635 SW CHAPMAN CT
Practice Address - Street 2:
Practice Address - City:TROUTDALE
Practice Address - State:OR
Practice Address - Zip Code:97060-2197
Practice Address - Country:US
Practice Address - Phone:503-704-8311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-23
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR23858225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist