Whalio Doctors

NPI 1003388851

Molly Anderson, PAC

Practitioner Medical Physician Assistant Portland, OR

Practice location

Address
3181 SW Sam Jackson Park Rd, Portland, OR 97239
Phone
(503) 494-4910
Mailing address
3181 SW Sam Jackson Park Rd Mail Code Sjh-2, Portland, OR 97239-3011

Registered specialties

Medical Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PA194571 (OR)

Registry record

NPI
1003388851
Entity type
Individual
Sex (as registered)
Female
NPI issued
18 Dec 2018
Record last updated
15 Jan 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.