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14845 Sw Murray Scholls Dr Ste 110, Beaverton, OR 97007-9237 | |
(360) 836-0171 | |
(618) 882-4174 |
Full Name | |
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Type | Facility |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 14845 Sw Murray Scholls Dr Ste 110, Beaverton, Oregon |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1447925367 | NPI | - | NPPES |
Provider Name | Molly Rodden |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144620295 PECOS PAC ID: 4880916972 Enrollment ID: I20171218001806 |
Provider Name | Oscar Ramos |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396313177 PECOS PAC ID: 9931507605 Enrollment ID: I20211011001169 |
Provider Name | Abdoulle O Jallow |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720409394 PECOS PAC ID: 0749678654 Enrollment ID: I20211026002718 |
Mailing Address | Practice Location Address |
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14845 Sw Murray Scholls Dr., Ste. 110, Pmb 412, Beaverton, OR 97007-0412 Ph: (360) 836-0171 | 14845 Sw Murray Scholls Dr Ste 110, Beaverton, OR 97007-9237 Ph: (360) 836-0171 |