Individual
MRS. MOLLY JEAN CARMICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4531 SE BELMONT ST, SUITE 100, PORTLAND, OR 97215-1675
(503) 215-3601
(503) 215-7985
Mailing address
4531 SE BELMONT ST, SUITE 100, PORTLAND, OR 97215-1675
(503) 215-3601
(503) 215-7985
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
082011410RN
OR
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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