MOLLY AULTZ

CLACKAMAS, OR
NPI1225197635
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OR  200250142NP-FNP)
Enumeration Date2006-12-08
Last Update Date2007-07-08
Business Address
Mrs. MOLLY AULTZ FNP
9775 SE SUNNYSIDE RD STE 200
CLACKAMAS, OR 97015-5721
Phone number: 503-654-8417
Mailing Address
Mrs. MOLLY AULTZ FNP
PO BOX 864
MOLALLA, OR 97038-0864
Phone number: 503-829-9293