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Individual

ALLEN KRISTOPHER MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1003 PROVIDENCE DR, SUITE 210, NEWBERG, OR 97132-7521
(503) 537-5620
(971) 282-0099
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
(503) 215-6644

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD28644
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500607170
OR
Enumeration date
02/06/2007
Last updated
04/28/2025
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