Most Relevant Information
Provider Data
NPI Number: | 1003291584 |
Provider Name: | MOLLY K TORVIK NP |
Entity Type: | Individual |
Taxonomy Code: | 363L00000X |
Specialty: | Nurse Practitioner |
License Number: | 201505052NP-PP |
Most Important Dates
Enumeration Date: | 07/24/2015 |
Last Updated: | 07/24/2015 |
Provider Practice Location
2195 NE PROFESSIONAL CT STE 1
BEND
OR
977016028
Practice Location Phone/Fax
Phone: | 5413229396 |
Fax: |
Provider Mailing Location
60860 BROSTERHOUS RD
BEND
OR
977029738
Provider Mailing Phone/Fax
Phone: | 9522215437 |
Fax: |