Individual
ROSS MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8765 N LOMBARD ST, PORTLAND, OR 97203-3732
(618) 308-1108
Mailing address
PO BOX 83694, PORTLAND, OR 97283-0694
(618) 308-1108
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC190895
OR
Other
Enumeration date
07/08/2021
Last updated
07/08/2021
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