Individual
DR. JOHN COUPER MOORHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, DEPARTMENT OF EMERGENCY MEDICINE CDW-EM, PORTLAND, OR 97239-3011
(503) 494-7500
(503) 494-8237
Mailing address
3181 SW SAM JACKSON PK DR, DEPARTMENT OF EMERGENCY MEDICINE CDW-EM, PORTLAND, OR 97239-3098
(503) 494-7500
(503) 494-8237
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
11347
OR
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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