Individual
THOMAS ALEXIS MOLLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3303 SW BOND AVE, PORTLAND, OR 97239-4501
(253) 272-7777
(253) 426-4142
Mailing address
2241 LLOYD CTR, PORTLAND, OR 97232-1315
(253) 272-7777
(253) 426-4142
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD00030543
WA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD16887
OR
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MED-PHYS-LIC-58617
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014667
—
OR
05
—
8155694
—
WA
05
—
8155699
—
WA
Enumeration date
08/22/2005
Last updated
02/19/2024
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