Individual
MOLLY ELIZABETH YAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1377 N 10TH AVE, STAYTON, OR 97383-2037
(503) 769-8470
(503) 769-9860
Mailing address
1377 N 10TH AVE, STAYTON, OR 97383-2037
(503) 769-8470
(503) 769-9860
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201810173RN
OR
363LF0000X
Family Nurse Practitioner
Primary
202100649NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500790547
—
OR
Enumeration date
01/27/2021
Last updated
01/26/2024
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