Provider Demographics
NPI:1922244680
Name:OBER, MELVIN CURTIS (LMT)
Entity Type:Individual
Prefix:MR
First Name:MELVIN
Middle Name:CURTIS
Last Name:OBER
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 EAGLE CREST DR
Mailing Address - Street 2:#30
Mailing Address - City:LAKE OSWEGO
Mailing Address - State:OR
Mailing Address - Zip Code:97035-1105
Mailing Address - Country:US
Mailing Address - Phone:503-922-2160
Mailing Address - Fax:
Practice Address - Street 1:6956 SW HAMPTON ST
Practice Address - Street 2:
Practice Address - City:TIGARD
Practice Address - State:OR
Practice Address - Zip Code:97223-8351
Practice Address - Country:US
Practice Address - Phone:503-443-6100
Practice Address - Fax:503-443-1280
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-31
Last Update Date:2008-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR14514172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist