Individual
MOLLY ROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
412 NE FORD ST, MCMINNVILLE, OR 97128-4608
(503) 434-7469
Mailing address
17379 SW CODY ST, BEAVERTON, OR 97007-5336
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201606714RN
OR
Other
Enumeration date
09/15/2016
Last updated
09/15/2016
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