Individual
MS. MOLLY JANEZICH ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
2455 NW MARSHALL ST STE 7B, PORTLAND, OR 97210-2949
(503) 597-8719
Mailing address
1724 NW 29TH AVE, PORTLAND, OR 97210-2463
(612) 232-6896
(612) 232-6896
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC184722
OR
Other
Enumeration date
01/24/2018
Last updated
06/07/2022
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