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Individual

MELISSA E MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRM, PSS

Contact information

Practice address
23800 NW FLYING M RD, YAMHILL, OR 97148-8152
(503) 662-5678
Mailing address
23800 NW FLYING M RD, YAMHILL, OR 97148-8152
(503) 662-5678

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
22-CRM-852
OR
175T00000X
Peer Specialist
Primary

Other

Enumeration date
09/27/2018
Last updated
03/13/2025
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