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Individual

MOLLY LEE OSBORNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-1620
Mailing address
3181 SW SAM JACKSON PARK RD, MAILCODE L102, PORTLAND, OR 97239

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
MD12641
OR
207RP1001X
Pulmonary Disease Physician
MD12641
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
264804
OR
Enumeration date
09/20/2006
Last updated
10/27/2007
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