Individual
MR. CLIFFORD ANDREW MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(210) 269-9289
Mailing address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(210) 269-9289
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
202200913NP-PP
OR
363LA2100X
Acute Care Nurse Practitioner
Primary
AP61256697
WA
Other
Enumeration date
02/25/2020
Last updated
03/13/2022
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