Individual
MS. SABRENA MARIE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3600 NW SAMARITAN DR, CORVALLIS, OR 97330-3737
(541) 768-5021
(541) 768-5179
Mailing address
PO BOX 2847, CORVALLIS, OR 97339-2847
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA182290
OR
Other
Enumeration date
08/21/2006
Last updated
07/21/2022
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