Individual
CHANDRIKA M MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T
Contact information
Practice address
18122 SW LOWER BOONES FERRY RD, TIGARD, OR 97224-7216
(503) 639-2118
(503) 639-7688
Mailing address
18122 SW LOWER BOONES FERRY RD, TIGARD, OR 97224-7216
(503) 639-2118
(503) 639-7688
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6572
OR
Other
Enumeration date
06/29/2011
Last updated
09/02/2021
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