Provider Demographics
NPI:1851161764
Name:BIKIS, MELANIE MARIE (LMHC-ASSOCIATE)
Entity Type:Individual
Prefix:
First Name:MELANIE
Middle Name:MARIE
Last Name:BIKIS
Suffix:
Gender:M
Credentials:LMHC-ASSOCIATE
Other - Prefix:
Other - First Name:MELANIE
Other - Middle Name:MARIE
Other - Last Name:TROUTMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8404 N OLYMPIA ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97203-1113
Mailing Address - Country:US
Mailing Address - Phone:913-244-7885
Mailing Address - Fax:
Practice Address - Street 1:8404 N OLYMPIA ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97203-1113
Practice Address - Country:US
Practice Address - Phone:913-244-7885
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-03
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAC61404823101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor