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Individual

MOLLY ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5601 SE 122ND AVE, PORTLAND, OR 97236-4601
(503) 760-6556
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary

Other

Enumeration date
06/17/2014
Last updated
06/17/2014
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