Provider Demographics
NPI:1487410544
Name:KLIPP, MOLLY
Entity type:Individual
Prefix:
First Name:MOLLY
Middle Name:
Last Name:KLIPP
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3225 ALDERWOOD MALL BLVD STE H
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036-4723
Mailing Address - Country:US
Mailing Address - Phone:425-280-2251
Mailing Address - Fax:
Practice Address - Street 1:3225 ALDERWOOD MALL BLVD STE H
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036-4723
Practice Address - Country:US
Practice Address - Phone:425-280-2251
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-26
Last Update Date:2024-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other