Thomas Alexis Molloy
Cardiothoracic Vascular Surgeon
3303 Sw Bond Ave
Portland
, Oregon 97239-4501
Thomas Alexis Molloy
Cardiothoracic Vascular Surgeon
3303 Sw Bond Ave
Portland
, Oregon 97239-4501
(253) 426-4142
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About
Features
Specialties
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- Thomas Alexis Molloy
- 2241 Lloyd Ctr
- Portland, OR
- Zip : 97232-1315
- Fax : (253) 426-4142
- Phone : (253) 272-7777
Second Address
- Thomas Alexis Molloy
- 3303 Sw Bond Ave
- Portland, OR
- Zip : 97239-4501
- Fax : (253) 426-4142
- Phone : (253) 272-7777
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Is Thomas Alexis Molloy a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208G00000X | Cardiothoracic Vascular Surgeon | MD00030543 | WA |
| Y | 208G00000X | Cardiothoracic Vascular Surgeon | MD16887 | OR |
National Provider Identifier
| NPI | 1023000395 |
|---|---|
| Provider Name | Thomas Alexis Molloy |
| First Address | Portland, OR 97232-1315 |
| Second Address | Portland, OR 97239-4501 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/08/2005 |
| Last Update Date | 03/09/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 014667 | (05) | OR |
| 8155694 | (05) | WA |
| 8155699 | (05) | WA |
| D00002 | (02) | OR |
| D00002 | (02) | WA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.