Melrose Mona Ellan Mask, PSS
Melrose Mona Ellan Mask, PSS is a Peer Specialist in Roseburg, Oregon. Licensed in Oregon. Registered with an NPI since 2020.
- Licensed in
- OR
- In the registry since
- 2020
Practice location Address checks out
621 W Madrone StRoseburg, OR 97470-3090
Phone: (541) 672-2691
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X · Licence THW000004127 (OR) |
|---|
Record details
| NPI number | 1871128215 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PSS |
| Sole proprietor | No |
| NPI enumerated | March 5, 2020 |
| Last updated in NPPES | May 18, 2020 |
| Certification date | May 18, 2020 |
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