Individual
MS. MARTYN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11875 SW 91ST AVE, #46, TIGARD, OR 97223-6332
(503) 620-7347
Mailing address
11875 SW 91ST AVE, #46, TIGARD, OR 97223-6332
(503) 620-7347
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/28/2011
Last updated
09/28/2011
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