Individual
LYNNE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
460 GREENWOOD RD S, INDEPENDENCE, OR 97351-9653
(503) 838-6431
(503) 838-6440
Mailing address
460 GREENWOOD RD S, INDEPENDENCE, OR 97351-9653
(503) 838-6431
(503) 838-6440
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/19/2009
Last updated
06/19/2009
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