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Individual

MOLLY G SPOHN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
5330 NE PRESCOTT ST, PORTLAND, OR 97218-2158
(503) 288-6585
Mailing address
5330 NE PRESCOTT ST, PORTLAND, OR 97218-2158
(503) 288-6585

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YM0800X
Mental Health Counselor
224Z00000X
Occupational Therapy Assistant
Primary
393649
OR

Other

Enumeration date
01/28/2025
Last updated
03/24/2026
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