Individual
LISA MOLINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3550 N INTERSTATE AVE, PORTLAND, OR 97227-1196
(503) 285-9321
Mailing address
3649 SW CANBY ST, PORTLAND, OR 97219-1650
(503) 892-9691
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD19664
OR
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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