Individual
MS. THERESA NMI MOLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4855 SW WESTERN AVE, BEAVERTON, OR 97005-3460
(503) 643-7565
Mailing address
22825 SW 93RD TER, TUALATIN, OR 97062-7302
(503) 691-1006
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00370
OR
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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