Individual
ALEXANDRIA ROSE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1942 NW KEARNEY ST STE 11, PORTLAND, OR 97209-1463
(971) 254-1357
Mailing address
1942 NW KEARNEY ST STE 11, PORTLAND, OR 97209-1463
(971) 254-1357
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/29/2023
Last updated
11/29/2023
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