Doll, Molly Brown

Doll, Molly Brown is an individual health care provider with primary practice located at 2928 Se Hawthorne Blvd Ste C , Portland OR 97214-4147. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Doll, Molly Brown can be contacted via phone (503) 504-6455.

Contact Information

Primary practice address
2928 Se Hawthorne Blvd Ste C Portland OR 97214-4147
Phone: (503) 504-6455
Fax: (844) 792-9639
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Counselor 101Y00000X C3108 Oregon

Profile Details

NPI number 1114197951
LBN Legal business name Doll, Molly Brown
Credentials MS, LPC, NCC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2008
Last updated Jan 28th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114197951 NPPES
Oregon MEDICAID 500660733
Oregon MEDICAID 210855

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