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Individual

MOLLY MCMULLEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5253 NE SANDY BLVD, PORTLAND, OR 97213-2562
(503) 893-5131
Mailing address
4444 NE HOYT ST, APT. 5, PORTLAND, OR 97213-2300

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20252
OR

Other

Enumeration date
09/11/2015
Last updated
04/02/2018
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