Molly Sue Cardenal O.D.

NPI 1124003397 - Optometrist - 152W00000X

NPI Details
NPI 1124003397
Gender Female
Enumeration Date 12/10/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
12100 SE STEVENS CT
STE 106
PORTLAND OR, 97266-7266, US
Phone (503) 653-1442
Fax
Business Location
11670 SW BLAKENEY
BEAVERTON OR, 97008, US
Phone (503) 330-4480
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Washington
License Number OD00004038
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According to our database, Dr. Molly Sue Cardenal O.D. NPI is 1124003397, taxonomy code is 152W00000X and license number is OD00004038, license state is located at Washington. Molly Sue Cardenal O.D. physically located at 12100 Se Stevens Ct, Portland OR, 97266-7266. NPI Number Molly Sue Cardenal O.D. has the Individual type.

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1124003397 NPI number is provided on an as is basis without warranty of any kind. 1124003397 is maintained by the National Plan & Provider Enumeration System. The contents of Molly Sue Cardenal O.D. are for informational purposes only.