NPI 1174871867 · live from the CMS NPI Registry
Molly Jean Carmichael, RN
Registered Nurse, Gerontology in Portland, OR. National Provider Identifier 1174871867, active.
NPI record
| NPI | 1174871867 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Gerontology 163WG0600X |
| Practice location | 4531 Se Belmont St, Suite 100, Portland, OR 97215 |
| Practice phone | 503-215-3601 |
| Enumerated | August 28, 2012 |
| Last updated | August 28, 2012 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Gerontology primary | 163WG0600X | 082011410RN (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.