Individual
MS. LUCINDA SUE MOLNAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
10100 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 813-2000
Mailing address
5219 SE 42ND AVE, PORTLAND, OR 97206-5005
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA187722
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NCI300A
MEDICARE PTAN
NC
Enumeration date
01/22/2014
Last updated
09/01/2023
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