MRS. MOLLY AULTZ (NPI# 1225197635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225197635 |
| Entity Type | Individual |
| Full Name | MRS. MOLLY AULTZ |
| Credential | FNP |
| Practice Address |
9775 Se Sunnyside Rd Ste 200 Clackamas OR 97015-5721 |
| Mailing Address |
Po Box 864 Molalla OR 97038-0864 |
| Practice Telephone | 5036548417 |
| Mailing Telephone | 5038299293 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
OR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
9775 SE SUNNYSIDE RD STE 200 |
| City | CLACKAMAS |
| State | OR |
| Zip Code | 97015-5721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801973664 | Karen Ann Kuryla | Family Medicine | 9775 Se Sunnyside Rd Ste 200, Clackamas, OR 97015-5721 | 2006-11-01 |
| 1700313871 | Clifford Daniel Heaberlin | Dentist | 9775 Se Sunnyside Rd Ste 200, Clackamas, OR 97015-5721 | 2017-05-18 |
| 1558789636 | Jaime Bartholomew | Registered Nurse | 9775 Se Sunnyside Rd Ste 200, Clackamas, OR 97015-5721 | 2014-04-04 |
| 1366876278 | Eunice L Weberg | Registered Nurse | 9775 Se Sunnyside Rd Ste 200, Clackamas, OR 97015-5721 | 2013-08-27 |
| 1891042487 | Clackamas County | Clinic/Center | 9775 Se Sunnyside Rd Ste 200, Clackamas, OR 97015-5721 | 2012-08-14 |
| 1245594365 | Emily Stewart | Registered Nurse | 9775 Se Sunnyside Rd Ste 200, Clackamas, OR 97015-5721 | 2012-07-03 |
| 1265794135 | Angie Pagano | Family Medicine | 9775 Se Sunnyside Rd Ste 200, Clackamas, OR 97015-5721 | 2012-06-15 |
| 1871855601 | Jennifer Haynes | Case Manager/Care Coordinator | 9775 Se Sunnyside Rd Ste 200, Clackamas, OR 97015-5721 | 2012-06-07 |
| 1144516253 | Cheryl Ann Calcagno | Nurse Practitioner | 9775 Se Sunnyside Rd Ste 200, Clackamas, OR 97015-5721 | 2011-06-27 |
| 1003141672 | Emily Marie Ketola | Social Worker | 9775 Se Sunnyside Rd Ste 200, Clackamas, OR 97015-5721 | 2009-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184103517 | Laurel Perilli | Physical Therapist | 12550 Se 93rd Ave Ste 265, Clackamas, OR 97015 | 2018-08-07 |
| 1306324538 | Kristin Connor Messing | Physical Therapist | 4805 Ne Glisan St, Prov Hall 7e06, Portland, OR 97015 | 2018-07-31 |
| 1902317266 | Darcy Jones Hamrick | Counselor | 12901 Se 97th Ave., Suite 340, Clackamas, OR 97015 | 2017-10-13 |
| 1841723384 | Manon Lavoie | Chiropractor | 17105 Se Sunnyside Rd, Suite 148, Happy Valley, OR 97015 | 2017-04-11 |
| 1235670126 | Michael G Short | Pedorthist | 10117 Se Sunnyside Rd., Ste. H, Clackamas, OR 97015 | 2017-03-13 |
| 1487100756 | Michael Joseph Peizner | Pharmacist | 16300se Evelyn Street, Clackamas, OR 97015 | 2016-08-28 |
| 1316395619 | Jennifer Elaine Walkowski | Physical Therapist | 9100 Se Sunnyside Road, Clackamas, OR 97015 | 2016-05-26 |
| 1649635384 | Brookside Dental - Milwaukie, LLC | Dentist | 9225 Se Sunnyside Rd. Ste 1, Clackamas, OR 97015 | 2015-12-23 |
| 1801216130 | Robert D. Grew Dmd, Inc. | Dentist | 10163 Se Sunnyside Road, Suite 414, Clackamas, OR 97015 | 2014-04-25 |
| 1508205410 | Valerie P Tabalno | Massage Therapist | 15661 Se 82nd Dr, Clackamas, OR 97015 | 2013-06-25 |
| Find all providers in zip 97015 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669442984 | Corinne M Dickey | Nurse Practitioner | 12002 Se Sunnyside Rd, Clackamas, OR 97015-8381 | 2006-01-26 |
| 1326692708 | Lia Armstrong Wystrach | Nurse Practitioner | 10151 Se Sunnyside Rd Ste 100, Clackamas, OR 97015-6913 | 2019-07-24 |
| 1659840650 | Rosmili Villavicencio-dunlap | Nurse Practitioner | 8645 Se Sunnybrook Blvd Ste 200, Clackamas, OR 97015-6841 | 2018-11-19 |
| 1821584889 | Katherine Mayers | Nurse Practitioner | 11995 Se Sunnyside Rd, Clackamas, OR 97015-9312 | 2018-07-02 |
| 1700258530 | Christina Nichole Farrell | Nurse Practitioner | 10100 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2015-10-20 |
| 1609150036 | Jennifer Andreson | Nurse Practitioner | 11211 Se Sunnyside Rd, Clackamas, OR 97015-7787 | 2011-10-04 |
| 1063790673 | Pam Hiransomboon-vogel | Nurse Practitioner | 10365 Se Sunnyside Rd, Ste 340, Clackamas, OR 97015-5741 | 2011-07-30 |
| 1144516253 | Cheryl Ann Calcagno | Nurse Practitioner | 9775 Se Sunnyside Rd Ste 200, Clackamas, OR 97015-5721 | 2011-06-27 |
| 1477885218 | James Alexander Novotny | Nurse Practitioner | 12550 Se 93rd Ave, Suite 250, Clackamas, OR 97015-9786 | 2010-02-04 |
| 1770716763 | Alex Michael Pandzik | Nurse Practitioner | 9775 Se Sunnyside Rd, Suite 200, Clackamas, OR 97015-5739 | 2009-08-25 |
| Find all providers in CLACKAMAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.