Individual
MS. MOLLY RODDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN NP-BC, PMHNP-BC
Contact information
Practice address
14845 SW MURRAY SCHOLLS DR STE 110, BEAVERTON, OR 97007-9237
(360) 836-0171
(618) 882-4174
Mailing address
14845 SW MURRAY SCHOLLS DR., STE. 110 PMB 412, BEAVERTON, OR 97007-0412
(360) 836-0171
(618) 882-4174
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
201705273NP-PP
OR
363LF0000X
Family Nurse Practitioner
209011748
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
201705273NP-PP
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201902719NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500730619
—
OR
Enumeration date
08/26/2014
Last updated
09/04/2021
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