Quinn Orion Molloy, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

25827 Issued in OR

Practice address

8959 SW Barbur Blvd Ste 114
Portland, OR 97219-4026

Phone

(971) 910-3710

NPI assigned

Mar 21, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1584748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1760018782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13410 SW CRESMER DR",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972235011",
            "telephone_number": "971-910-3710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8959 SW BARBUR BLVD STE 114",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972194026",
            "telephone_number": "971-910-3710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4265 SW 109th Ave",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970053028",
            "country_code": "US",
            "telephone_number": "503-526-8600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOLLOY",
        "first_name": "QUINN",
        "middle_name": "ORION",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-21",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "25827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dalton Kenneth Moller
• Hans Stern Moller III, M.D.
• Sara Moller
• Angelo Domingo Mollman, QMHA
• Alice Mollo-Christensen, CADC1
• Thomas Alexis Molloy, MD
• Adina Joline Mollusky, DO
• Molly Erickson Acupuncture LLC
• Molly Willis Counseling Services, LLC
• Liesl Jane Gifford Molnar, LMT

• Massage Therapist in Portland, OR
• Providers in Portland, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.