Nicolette C Molina
Student in an Organized Health Care Education/Training Program in Portland, OR. Individual provider (NPI-1).
NPI number1295596005
StatusActive
Last updated in NPPESJan 18, 2024
Details
- NPI
- 1295596005
- Entity type
- Individual (NPI-1)
- Name
- Nicolette C Molina
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 18, 2024
- Certification date
- Jan 18, 2024
- Last updated
- Jan 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
5100 S Macadam Ave Ste 350Portland, OR 97239-3877
Phone 503-231-7854
Mailing address
5100 S Macadam Ave Ste 350Portland, OR 97239-3877
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