Provider Demographics
NPI:1831771393
Name:ZARNICK, MOLLY (FNTP)
Entity type:Individual
Prefix:
First Name:MOLLY
Middle Name:
Last Name:ZARNICK
Suffix:
Gender:F
Credentials:FNTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:184 E WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:SISTERS
Mailing Address - State:OR
Mailing Address - Zip Code:97759-1229
Mailing Address - Country:US
Mailing Address - Phone:971-255-9358
Mailing Address - Fax:
Practice Address - Street 1:184 E WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:SISTERS
Practice Address - State:OR
Practice Address - Zip Code:97759-1229
Practice Address - Country:US
Practice Address - Phone:971-255-9358
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-24
Last Update Date:2021-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date: