Individual
MOSES COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
2240 SE 182ND AVE, PORTLAND, OR 97233-5608
(503) 328-6259
Mailing address
2240 SE 182ND AVE, PORTLAND, OR 97233-5608
(503) 328-6259
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00886
OR
Other
Enumeration date
10/11/2017
Last updated
10/11/2017
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