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Individual

MOLLY MARGARET MCCLELLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
831 NW COUNCIL DR STE 300, GRESHAM, OR 97030-3725
(503) 382-8100
(503) 382-8120
Mailing address
830 NW COUNCIL DR STE 300, GRESHAM, OR 97030-3752

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
7395
OR
363A00000X
Physician Assistant
Primary

Other

Enumeration date
05/29/2008
Last updated
05/29/2015
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