Individual
MS. ROCHELLE ILONA MOLLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1500 NE IRVING ST STE 250, PORTLAND, OR 97232-2265
(503) 233-4356
Mailing address
3133 SE MORRISON ST, PORTLAND, OR 97214-3044
(503) 232-5617
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
L3778
OR
Other
Enumeration date
02/16/2007
Last updated
07/08/2007
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