NPI 1013495704
Molly Ann Fauske, PT
Practice location
- Address
- 17550 Provost St STE 201a, Lake Oswego, OR 97034-5199
- Phone
- (503) 872-2441
- Mailing address
- PO Box 3158, Portland, OR 97208-3158
Registered specialties
Physical Therapist
Primary
Registry record
- NPI
- 1013495704
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 3 Aug 2018
- Record last updated
- 21 Apr 2023
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.