Individual
EMILY STAHL MOLLENKOPF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
665 WINTER ST SE, SALEM, OR 97301-3934
(503) 561-5200
Mailing address
665 WINTER ST SE, SALEM, OR 97301-3934
(949) 357-9563
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201403349RN
OR
163W00000X
Registered Nurse
RN60474139
WA
363L00000X
Nurse Practitioner
201908772NP-PP
OR
363LF0000X
Family Nurse Practitioner
Primary
201908772NP-PP
OR
363LF0000X
Family Nurse Practitioner
AP61005863
WA
Other
Enumeration date
02/26/2018
Last updated
09/01/2021
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