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Individual

MOLLY M WEINBENDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
1327 SE TACOMA ST UNIT 122, PORTLAND, OR 97202-6639
(503) 716-6949
Mailing address
1327 SE TACOMA ST UNIT 122, PORTLAND, OR 97202-6639
(503) 716-6949
(888) 645-6068

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
61696
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1053852301
OR
Enumeration date
03/19/2017
Last updated
03/10/2022
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