Individual
SARAH ELLEN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1015 NW 22ND AVE, STE R200, PORTLAND, OR 97210-3025
(503) 413-8407
(503) 413-8407
Mailing address
1015 NW 22ND AVE, STE R200, PORTLAND, OR 97210-3025
(503) 413-8407
(503) 413-8407
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD170746
OR
Other
Enumeration date
03/29/2011
Last updated
04/14/2016
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