Individual
MOLLIE ANN SUITS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3303 SW BOND AVE, PORTLAND, OR 97239-4501
(503) 494-3151
Mailing address
3303 SW BOND AVE, PORTLAND, OR 97239-4501
(503) 494-3151
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1898
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1898
PHYSICAL THERAPY
OR
Enumeration date
04/07/2020
Last updated
04/07/2020
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