Individual
DR. HALLEY NICOLE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1709 NE 27TH ST STE H, MCMINNVILLE, OR 97128-2348
(503) 472-1477
(503) 472-1478
Mailing address
1709 NE 27TH ST STE H, MCMINNVILLE, OR 97128-2348
(503) 472-1477
(503) 472-1478
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5102
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500671634
—
OR
Enumeration date
01/05/2013
Last updated
03/28/2018
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