Individual
MS. MICHELLE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD, CDE
Contact information
Practice address
342 FAIRVIEW ST, SILVERTON, OR 97381-1917
(503) 873-1557
Mailing address
342 FAIRVIEW ST, SILVERTON, OR 97381-1917
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
939
OR
Other
Enumeration date
07/12/2019
Last updated
07/12/2019
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