Individual
TESSA J MOLTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1508 DIVISION ST STE 105, OREGON CITY, OR 97045-1584
(503) 656-0836
(503) 656-9464
Mailing address
1508 DIVISION ST STE 105, OREGON CITY, OR 97045-1584
(503) 656-0836
(503) 656-9464
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA01348
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA01348
OREGON MEDICAL BOARD
OR
Enumeration date
11/02/2006
Last updated
08/28/2024
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