Individual
MOLLY ANN BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
12923 NW CORNELL RD STE 104, PORTLAND, OR 97229-5834
(503) 502-2694
Mailing address
12923 NW CORNELL RD STE 104, PORTLAND, OR 97229-5834
(503) 502-2694
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
8134
OR
Other
Enumeration date
12/12/2012
Last updated
12/12/2012
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