Provider Demographics
NPI:1538865126
Name:HO, MELISA (PCA, RN)
Entity type:Individual
Prefix:MRS
First Name:MELISA
Middle Name:
Last Name:HO
Suffix:
Gender:F
Credentials:PCA, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 230522
Mailing Address - Street 2:
Mailing Address - City:TIGARD
Mailing Address - State:OR
Mailing Address - Zip Code:97281-0522
Mailing Address - Country:US
Mailing Address - Phone:971-331-9879
Mailing Address - Fax:
Practice Address - Street 1:7000 SW HAMPTON ST STE 120
Practice Address - Street 2:
Practice Address - City:TIGARD
Practice Address - State:OR
Practice Address - Zip Code:97223-8361
Practice Address - Country:US
Practice Address - Phone:971-331-9879
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-06
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORR6852101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor