MOLLY G GODDARD

CANBY HEALTHCARE CLINIC LLC

Dr MOLLY G GODDARD is a female medical professional, specializing in Nurse Practitioner. She graduated in 2017.

Contact

CANBY HEALTHCARE CLINIC LLC

703 SE 1ST AVE
CANBY
OR
970133849

Tel: 5032667686

MOLLY G GODDARD Information

Npi 1114470952
Pac Id 0143593517
Professional Enrollment Id I20170906002990
Last Name GODDARD
First Name MOLLY
Middle Name G
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2017
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name CANBY HEALTHCARE CLINIC LLC
Group Practice Pac Id 7315074994
Number Of Group Practice Members 3
Line 1 Street Address 703 SE 1ST AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City CANBY
State OR
Zip Code 970133849
Phone Number 5032667686
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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