Individual
MOLLY KAY JARVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12655 SW CENTER ST STE 100, BEAVERTON, OR 97005-1600
(503) 828-3402
(971) 238-8395
Mailing address
12655 SW CENTER ST STE 100, BEAVERTON, OR 97005-1600
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/04/2019
Last updated
11/04/2019
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