Organization
MOLLY HAMILTON LMT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOLLY GROW (OWNER)
(971) 409-4412
Entity
Organization
Contact information
Practice address
9415 SW 125TH AVE APT 2, BEAVERTON, OR 97008-4045
(971) 409-4412
Mailing address
9415 SW 125TH AVE APT 2, BEAVERTON, OR 97008-4045
(971) 409-4412
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
14507
OR
Other
Enumeration date
03/03/2015
Last updated
03/03/2015
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