Individual
MEGAN MARIE MOSELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, LMT
Contact information
Practice address
1030 NW 12TH AVE, STE 1, PORTLAND, OR 97209-2838
(503) 701-4390
(503) 974-2612
Mailing address
1400 NW IRVING ST, APT 709, PORTLAND, OR 97209-2260
(541) 912-0594
(541) 343-6206
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2177
OR
Other
Enumeration date
05/15/2006
Last updated
11/22/2017
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