Individual
DR. JAMES MATTHEW MOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 571-6505
Mailing address
3210 NE SHAVER ST, PORTLAND, OR 97212-1747
(503) 284-1316
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
12706
CA
103T00000X
Psychologist
Primary
1423
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PSY12706031
—
CA
Enumeration date
02/18/2014
Last updated
12/29/2021
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