Individual
MOLLY GESSICA MAAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3377 RIVERBEND DR, SPRINGFIELD, OR 97477-8803
(541) 222-8400
(541) 222-8401
Mailing address
5642 SW IDAHO ST, PORTLAND, OR 97221-1625
(805) 368-4993
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
10034685
OR
363LA2100X
Acute Care Nurse Practitioner
95029029
CA
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
10034685
OR
Other
Enumeration date
12/11/2023
Last updated
01/21/2025
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