Individual
MS. PATRICIA EDWARDS MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
819 SE MORRISON ST STE 240, PORTLAND, OR 97214-6312
(503) 740-5185
(503) 236-4338
Mailing address
7025 SE 84TH AVE, PORTLAND, OR 97266-5832
(503) 740-5185
(503) 236-4338
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
11924
OR
Other
Enumeration date
11/03/2009
Last updated
11/03/2009
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