James Patrick Molloy III, M.D.
Family Medicine in Sheridan, OR. Individual provider (NPI-1).
NPI number1679679393
StatusActive
Last updated in NPPESJul 9, 2007
Details
- NPI
- 1679679393
- Entity type
- Individual (NPI-1)
- Name
- James Patrick Molloy III
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 16, 2006
- Last updated
- Jul 9, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | MD14689 | OR | Yes |
Practice location
950 Se Sheridan RdSheridan, OR 97378-1913
Phone 503-843-4071 · Fax 503-843-4070
Mailing address
Po Box 219Sheridan, OR 97378-0219
Phone 503-843-4071 · Fax 503-843-4070
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