MEDICARE: ROBERT E MOLINA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207VX0000X	Obstetrics Physician	MD00035624	WA
2	207Q00000X	Family Medicine Physician	MD00035624	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740294594
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT E MOLINA MD

Provider Business Mailing Address
First Line	:	3600 LIND AVE SW
Second Line	:	STE 100
City	:	RENTON
State	:	WA
Zip	:	98055-4934
Country	:	US
Telephone Number	:	425-656-5412
Fax Number	:

Provider Business Practice Location Address
First Line	:	3901 NE 4TH ST STE 105
Second Line	:
City	:	RENTON
State	:	WA
Zip	:	98056-4100
Country	:	US
Telephone Number	:	425-690-3410
Fax Number	:	425-690-9410

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2006
Last Update Date	:	03/24/2021

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Directions to “ ROBERT E MOLINA MD” Practice Location

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