Molloy, Thomas Alexis

Molloy, Thomas Alexis is an individual health care provider with primary practice located at 3303 Sw Bond Ave , Portland OR 97239-4501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Molloy, Thomas Alexis can be contacted via phone (253) 272-7777.

Contact Information

Primary practice address
3303 Sw Bond Ave Portland OR 97239-4501
Phone: (253) 272-7777
Fax: (253) 426-4142
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X MD00030543 Washington
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X MED-PHYS-LIC-58617 Montana
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X MD16887 Oregon

Profile Details

NPI number 1023000395
LBN Legal business name Molloy, Thomas Alexis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2005
Last updated Feb 19th, 2024 - about 7 months 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 1023000395 NPPES
Washington MEDICAID 8155699
Washington MEDICAID 8155694
Washington MEDICAID 014667

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