Provider Demographics
NPI:1790171742
Name:ALSPAUGH, MELISSA JOANNE (BS, MSC)
Entity Type:Individual
Prefix:MISS
First Name:MELISSA
Middle Name:JOANNE
Last Name:ALSPAUGH
Suffix:
Gender:F
Credentials:BS, MSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 RIDGEDALE RD
Mailing Address - Street 2:
Mailing Address - City:FRIDAY HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98250-8971
Mailing Address - Country:US
Mailing Address - Phone:360-317-5470
Mailing Address - Fax:
Practice Address - Street 1:100 RIDGEDALE RD
Practice Address - Street 2:
Practice Address - City:FRIDAY HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98250-8971
Practice Address - Country:US
Practice Address - Phone:360-317-5470
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-07
Last Update Date:2015-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARHT000876102471R0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471R0002XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistRadiation Therapy