Individual
MRS. MOLLY JEAN BEEDLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3939 SW BOND AVE, APT. 209, PORTLAND, OR 97239-4706
(785) 331-6145
Mailing address
PO BOX 10722, PORTLAND, OR 97296-0722
(503) 684-8252
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA174934
OR
363A00000X
Physician Assistant
PA59660
CA
Other
Enumeration date
11/11/2014
Last updated
11/03/2023
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