Individual
MS. DONNA JEAN MORIARTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5424 SE BUSH ST, PORTLAND, OR 97206-2932
(503) 705-5892
Mailing address
5424 SE BUSH ST, PORTLAND, OR 97206-2932
(503) 705-5892
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
000025761RN
OR
Other
Enumeration date
05/31/2008
Last updated
05/31/2008
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