Provider Demographics
NPI:1528841392
Name:MOLINE & ASSOCIATES
Entity type:Organization
Organization Name:MOLINE & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:MOLINE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:541-490-6853
Mailing Address - Street 1:3740 BLACKBURN DR
Mailing Address - Street 2:
Mailing Address - City:HOOD RIVER
Mailing Address - State:OR
Mailing Address - Zip Code:97031-9300
Mailing Address - Country:US
Mailing Address - Phone:541-490-6853
Mailing Address - Fax:
Practice Address - Street 1:3740 BLACKBURN DR
Practice Address - Street 2:
Practice Address - City:HOOD RIVER
Practice Address - State:OR
Practice Address - Zip Code:97031-9300
Practice Address - Country:US
Practice Address - Phone:541-490-6853
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-16
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy