Individual
BRIANNE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2700 NW STEWART PKWY, ROSEBURG, OR 97471-1281
(541) 677-4818
Mailing address
273 WESTVIEW DR, ROSEBURG, OR 97471-9579
(541) 554-9590
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H5088
OR
Other
Enumeration date
11/01/2015
Last updated
11/01/2015
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