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Individual

MS. AUDREY ROCK MOSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.AC., LMT

Contact information

Practice address
5667 NE GLISAN ST, PORTLAND, OR 97213-3747
(503) 481-4615
(503) 233-8415
Mailing address
4000 SE 82ND AVE, STE 1000 - 145, PORTLAND, OR 97266-2924
(503) 481-4615
(503) 233-8415

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01141
OR
225700000X
Massage Therapist
8563
OR

Other

Enumeration date
05/15/2008
Last updated
05/15/2008
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