Provider Demographics
NPI:1346700226
Name:MOLINA TRAN, ALLEANA FRANCISS (LMT)
Entity Type:Individual
Prefix:MRS
First Name:ALLEANA
Middle Name:FRANCISS
Last Name:MOLINA TRAN
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4139 SE JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKIE
Mailing Address - State:OR
Mailing Address - Zip Code:97222-5935
Mailing Address - Country:US
Mailing Address - Phone:503-303-0980
Mailing Address - Fax:
Practice Address - Street 1:4139 SE JACKSON ST
Practice Address - Street 2:
Practice Address - City:MILWAUKIE
Practice Address - State:OR
Practice Address - Zip Code:97222-5935
Practice Address - Country:US
Practice Address - Phone:503-303-0980
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-25
Last Update Date:2020-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR25018225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist