Provider Demographics
NPI:1790933315
Name:YORTON, MELISSA R (DPT)
Entity Type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:R
Last Name:YORTON
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:R
Other - Last Name:NOHL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1700 MAIN ST STE 136
Mailing Address - Street 2:
Mailing Address - City:WASHOUGAL
Mailing Address - State:WA
Mailing Address - Zip Code:98671-4133
Mailing Address - Country:US
Mailing Address - Phone:360-835-5349
Mailing Address - Fax:360-835-5390
Practice Address - Street 1:1700 MAIN ST STE 136
Practice Address - Street 2:
Practice Address - City:WASHOUGAL
Practice Address - State:WA
Practice Address - Zip Code:98671-4133
Practice Address - Country:US
Practice Address - Phone:360-835-5349
Practice Address - Fax:360-835-5390
Is Sole Proprietor?:No
Enumeration Date:2008-09-08
Last Update Date:2015-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT60045101225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist