National Provider Identifier Database

MOLLY RADIS, PNP – NPI #1306228200
Pediatrics


Contact Information

MOLLY RADIS, PNP
2200 NE PROFESSIONAL CT
BEND, OR97701-6063
Phone: 541-389-6313
Fax: 541-389-8760
Website:
Specialty Taxonomy Code
* Pediatrics 363LP0200X

* Indicates primary specialty

NPI Profile & details for MOLLY RADIS

NPI Number 1306228200
Credentials PNP
Entity Individual
Enumeration date 06/26/2015
Last updated 06/26/2015 - About 11 years ago
Sole proprietor1 No
Identifiers
  • OR License #: 201503488NP-PP
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for MOLLY RADIS, PNP

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