Most Relevant Information
Provider Data
| NPI Number: | 1003211350 |
| Provider Name: | SEBASTIAN MOLFA |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | MC60418527 |
Most Important Dates
| Enumeration Date: | 10/29/2014 |
| Last Updated: | 05/25/2023 |
Provider Practice Location
605 SE CESAR E CHAVEZ BLVD
PORTLAND
OR
972143216
Practice Location Phone/Fax
| Phone: | 5032317480 |
| Fax: | 5032330667 |
Provider Mailing Location
605 SE CESAR E CHAVEZ BLVD
PORTLAND
OR
972143216
Provider Mailing Phone/Fax
| Phone: | 5032317480 |
| Fax: | 5032330667 |