Individual
ALICE MOLLO-CHRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC1
Contact information
Practice address
1132 SW 13TH AVE, PORTLAND, OR 97205-1703
(503) 535-3800
Mailing address
1132 SW 13TH AVE, PORTLAND, OR 97205-1703
(503) 535-3800
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13-03-31
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500181599
—
OR
Enumeration date
04/29/2013
Last updated
03/10/2015
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