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Individual

KATIE MARIKA MOON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
702 JOHN ADAMS ST, OREGON CITY, OR 97045-1955
(503) 730-1469
Mailing address
PO BOX 3973, TUALATIN, OR 97062-3973
(503) 730-1469

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
03/24/2023
Last updated
03/24/2023
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