Individual
MS. MOLLY ANNE BREDENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5050 NE HOYT ST, PORTLAND, OR 97213-2991
(503) 215-0424
Mailing address
10765 SW BUTNER RD APT 23, PORTLAND, OR 97225-5258
(503) 644-6473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5090
OR
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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