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Individual

MISS MOLLY TERECIA MEADOWS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BS

Contact information

Practice address
2701 NW VAUGHN ST, PORTLAND, OR 97210-5311
(503) 721-6800
Mailing address
20015 SW DELINE ST, ALOHA, OR 97007-2824
(503) 502-5572

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3097
OR
225100000X
Physical Therapist
PT00006867
WA

Other

Enumeration date
08/25/2006
Last updated
07/08/2007
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