Individual
MOLLY SUZANNE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2625 SE HAWTHORNE BLVD, PORTLAND, OR 97214-2941
(503) 238-9788
(503) 233-9163
Mailing address
3446 NE 19TH AVE, PORTLAND, OR 97212-2407
(503) 901-8923
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3630
OR
Other
Enumeration date
03/02/2009
Last updated
03/02/2009
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