Individual
BRENDA JO MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3560 NATIONAL DR, SUITE 100, MEDFORD, OR 97504-4008
(541) 734-7333
(541) 734-8802
Mailing address
3560 NATIONAL DR, SUITE 100, MEDFORD, OR 97504-4008
(541) 734-7333
(541) 734-8802
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3361
OR
Other
Enumeration date
03/12/2009
Last updated
03/12/2009
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