Individual
MR. DAVID M MOLKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1221 SW YAMHILL ST, #301, PORTLAND, OR 97205-2126
(503) 226-7079
(503) 226-1130
Mailing address
1221 SW YAMHILL ST, STE 301, PORTLAND, OR 97205-2110
(503) 226-7079
(503) 226-1130
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L2969
OR
Other
Enumeration date
06/15/2006
Last updated
02/01/2017
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