Provider Demographics
NPI:1699109066
Name:MOLINARI, SARALEE GAIL (PHARMD)
Entity type:Individual
Prefix:DR
First Name:SARALEE
Middle Name:GAIL
Last Name:MOLINARI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2136 NE 15TH AVE APT 5
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97212-4457
Mailing Address - Country:US
Mailing Address - Phone:503-754-2961
Mailing Address - Fax:
Practice Address - Street 1:11190 SW BARNES RD
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97225-5372
Practice Address - Country:US
Practice Address - Phone:503-526-9121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-21
Last Update Date:2013-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORRPH-0013727183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist