Individual
MOLLY MORAN-YANDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5050 NE HOYT ST, SUITE 454, PORTLAND, OR 97213-2991
(503) 215-6405
(503) 215-6429
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD20724
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134109
—
OR
01
—
P00910522
RR MEDICARE - PHS
OR
Enumeration date
02/22/2006
Last updated
02/20/2013
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