Molly G Goddard (NPI# 1114470952, PAC ID# 0143593517) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1114470952 |
| PAC ID by PECOS | 0143593517 |
| Professional Enrollment ID | I20170906002990 |
| Full Name | Molly G Goddard |
| Organization Legal Name | CANBY HEALTHCARE CLINIC LLC |
| Address |
703 Se 1st Ave Canby OR 97013-3849 |
| Phone Number | 5032667686 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7315074994 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 703 Se 1st Ave, Canby, OR 97013-3849 | 5032667686 | CANBY HEALTHCARE CLINIC LLC |
| Organization Legal Name | CANBY HEALTHCARE CLINIC LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer K Moon | Nurse Practitioner | Canby Healthcare Clinic LLC | 703 Se 1st Ave, Canby, OR 97013-3849 |
| Allyson Claire Munson | Nurse Practitioner | Canby Healthcare Clinic LLC | 703 Se 1st Ave, Canby, OR 97013-3849 |
| Abigail Nelson | Nurse Practitioner | Canby Healthcare Clinic LLC | 703 Se 1st Ave, Canby, OR 97013-3849 |
| Street Address |
703 SE 1ST AVE |
| City | CANBY |
| State | OR |
| Zip | 97013-3849 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer K Moon | Nurse Practitioner | Canby Healthcare Clinic LLC | 703 Se 1st Ave, Canby, OR 97013-3849 |
| Allyson Claire Munson | Nurse Practitioner | Canby Healthcare Clinic LLC | 703 Se 1st Ave, Canby, OR 97013-3849 |
| Abigail Nelson | Nurse Practitioner | Canby Healthcare Clinic LLC | 703 Se 1st Ave, Canby, OR 97013-3849 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charlo Brandon Crumpacker | Physical Therapy | North Lake Physical Therapy and Rehab Lp | 365 S Redwood St, Canby, OR 97013-2405 |
| Mackenzie Bartelli | Physical Therapy | North Lake Physical Therapy and Rehab Lp | 365 S Redwood St, Canby, OR 97013-2405 |
| John Alan Zieg | Optometry | 310 Nw 3rd Ave, Canby Vision Clinic, Canby, OR 97013-3603 | |
| Janae Z Brill | Family Medicine | Davies Clinic PC | 345 N Grant St, Canby, OR 97013-3610 |
| Deona L Bridgeman | Family Medicine | Davies Clinic PC | 345 N Grant St, Canby, OR 97013-3610 |
| Joanna Anders | Nurse Practitioner | Davies Clinic PC | 345 N Grant St, Canby, OR 97013-3610 |
| Daniel Richard Ryan | Physical Therapy | New Proactive LLC | 308 N Ivy St, Canby, OR 97013-3704 |
| Ashley K Mcferron | Optometry | Ashley K Mcferron Od PC | 364 N Ivy St, Canby, OR 97013-3704 |
| Tyler Bohnet | Physical Therapy | New Proactive LLC | 308 N Ivy St, Canby, OR 97013-3704 |
| Elizabeth Ann Henderson | Physical Therapy | New Proactive LLC | 308 N Ivy St, Canby, OR 97013-3704 |
| Find all physicians in zip 97013 | |||
| City | CANBY |
| Zip Code | 97013 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CANBY + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.