Individual
SHAYLYNN MOLLERECKHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13205 SW HIDDEN CREEK PL, TIGARD, OR 97223-5740
(510) 896-5159
Mailing address
13205 SW HIDDEN CREEK PL, TIGARD, OR 97223-5740
(510) 896-5159
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
04/19/2016
Last updated
04/19/2016
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