Bair, Molly C

Bair, Molly C is an individual health care provider with primary practice located at 880 82Nd Dr , Gladstone OR 97027-1803. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Bair, Molly C can be contacted via phone (503) 659-5515.

Contact Information

Primary practice address
880 82Nd Dr Gladstone OR 97027-1803
Fax: (503) 659-1994
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 04-R-13 Oregon

Profile Details

NPI number 1285798660
LBN Legal business name Bair, Molly C
Credentials CADCII,
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2006
Last updated Jun 11th, 2008 - about 16 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 1285798660 NPPES
Oregon MEDICAID 164936

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