Individual
MOLLY ANN CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7185 SW SANDBURG ST STE 100, TIGARD, OR 97223-8090
(503) 847-2225
Mailing address
7185 SW SANDBURG ST STE 100, TIGARD, OR 97223-8090
(503) 847-2225
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6676
OR
Other
Enumeration date
03/04/2019
Last updated
03/04/2019
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