Individual
DAVIDA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1445 WILLAMETTE ST STE 6, EUGENE, OR 97401-4087
(541) 214-2011
Mailing address
4450 FORT MCKAY RD, OAKLAND, OR 97462-8730
(541) 214-2011
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
11/14/2022
Last updated
11/01/2023
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