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Individual

MOLLY RADIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PNP

Contact information

Practice address
2200 NE PROFESSIONAL CT, BEND, OR 97701-6063
(541) 389-6313
(541) 389-8760
Mailing address
2200 NE PROFESSIONAL CT, BEND, OR 97701-6063
(541) 389-6313
(541) 389-8760

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
201503488NP-PP
OR

Other

Enumeration date
06/26/2015
Last updated
06/26/2015
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