Provider Demographics
NPI:1255489431
Name:MINOFF, MELISSA HELEN (ND, LAC)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:HELEN
Last Name:MINOFF
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 1:6300 9TH AVE NE STE 310
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-8516
Mailing Address - Country:US
Mailing Address - Phone:206-524-0863
Mailing Address - Fax:206-524-1019
Practice Address - Street 1:6300 9TH AVE NE STE 310
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115-8516
Practice Address - Country:US
Practice Address - Phone:206-524-0863
Practice Address - Fax:206-524-1019
Is Sole Proprietor?:No
Enumeration Date:2007-01-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC 556171100000X
WANT1062175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered171100000XOther Service ProvidersAcupuncturist
Not Answered175F00000XOther Service ProvidersNaturopath