Provider Demographics
NPI:1659513976
Name:GAMBLE, MOLLY PATRICIA (LMP)
Entity Type:Individual
Prefix:MRS
First Name:MOLLY
Middle Name:PATRICIA
Last Name:GAMBLE
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:520 E WHIDBEY AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:OAK HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98277
Mailing Address - Country:US
Mailing Address - Phone:206-387-9419
Mailing Address - Fax:360-323-4151
Practice Address - Street 1:520 E WHIDBEY AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:OAK HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98277
Practice Address - Country:US
Practice Address - Phone:206-387-9419
Practice Address - Fax:360-323-4151
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-01
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist