Individual
STUART MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC 1
Contact information
Practice address
4211 W 11TH AVE, EUGENE, OR 97402-5435
(541) 485-1577
Mailing address
1326 LAWRENCE ST APT 6, EUGENE, OR 97401-3861
(541) 790-1133
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15-11-05
OR
Other
Enumeration date
01/31/2017
Last updated
01/31/2017
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