Most Relevant Information
Provider Data
| NPI Number: | 1003028978 |
| Provider Name: | MOLLY ANNE BREDENBERG PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 5090 |
Most Important Dates
| Enumeration Date: | 05/04/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
5050 NE HOYT ST
PORTLAND
OR
972132991
Practice Location Phone/Fax
| Phone: | 5032150424 |
| Fax: |
Provider Mailing Location
10765 SW BUTNER RD APT 23
PORTLAND
OR
972255258
Provider Mailing Phone/Fax
| Phone: | 5036446473 |
| Fax: |