MS. MELISSA ROSE ANTONOWICZ
NPI 1376113712
Counselor - Mental Health in Portland, OR
Active since June 28, 2021
About Ms. Melissa Rose Antonowicz NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. MELISSA ROSE ANTONOWICZ (NPI 1376113712) is an individual mental health provider in Portland, Oregon and active in the NPI registry since June 2021.
NPPES Registry Identity
NPI1376113712
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. MELISSA ROSE ANTONOWICZ
Location Address1411 SW MORRISON ST STE 310Portland, OR 97205-1945
Mailing Address222 Se 8th Ave Ste 212Hillsboro, OR 97123-4218 · (503) 352-7333
Phone(503) 352-2400
Sole ProprietorNo
Enumeration DateJune 28, 2021
Last NPPES UpdateMay 2, 2022
NPPES CertifiedMay 2, 2022
✔ NPI 1376113712 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1411 SW MORRISON ST STE 310, Portland, OR 97205
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1376113712, enumerated as an "individual" on June 28, 2021.
The provider is located at 1411 SW MORRISON ST STE 310 PORTLAND, OR 97205 and the phone number is (503) 352-2400.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.