Individual provider · Type 1 NPI

Molly Radis, PNP

Pediatric Nurse Practitioner · Bend, OR

NPI number 1306228200 Active

Practice location

2200 NE Professional Ct
Bend, OR 97701-6063

Fax (541) 389-8760

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X201503488NP-PP (OR)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1306228200

Molly Radis, PNP's National Provider Identifier is 1306228200, issued on Jun 26, 2015. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Bend, OR. The record was last updated on Jun 26, 2015.