Dr Molly Goddard, DNP, PMHNP - Nurse Practitioner in Portland, OR

Dr Molly Goddard, DNP, PMHNP is a Nurse Practitioner - Psychiatric/mental Health based in Portland, Oregon. Dr Molly Goddard is licensed to practice in Oregon (license number 201705849NP-PP) and her current practice location is 1750 Sw Skyline Blvd Ste 201, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at (503) 894-9630.

NPI number for Dr Molly Goddard is 1114470952 and her current mailing address is Po Box 1422, Oregon City, Oregon. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114470952.

Contact Information

Dr Molly Goddard, DNP, PMHNP
1750 Sw Skyline Blvd Ste 201,
Portland, OR 97221-2545
(503) 894-9630
Not Available

Map and Direction




Provider's Profile

Full NameDr Molly Goddard
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location1750 Sw Skyline Blvd Ste 201, Portland, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1114470952
  • Provider Enumeration Date: 07/28/2016
  • Last Update Date: 11/01/2024

Medical Identifiers

Medical identifiers for Dr Molly Goddard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114470952NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 201507180RN (Oregon)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 201705849NP-PP (Oregon)Primary
101Y00000XCounselor (* (Not Available))Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Molly Goddard is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Molly Goddard, DNP, PMHNP
Po Box 1422,
Oregon City, OR 97045-0098

Ph: () -
Dr Molly Goddard, DNP, PMHNP
1750 Sw Skyline Blvd Ste 201,
Portland, OR 97221-2545

Ph: (503) 894-9630

Reviews and Comments


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