Individual
MS. SHANNON MARY MOLDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R. N
Contact information
Practice address
547 E RIDGEWAY AVE, HERMISTON, OR 97838-1935
(541) 720-9277
Mailing address
547 E RIDGEWAY AVE, HERMISTON, OR 97838-1935
(541) 720-9277
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
093000129RN
OR
Other
Enumeration date
07/10/2013
Last updated
07/10/2013
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