Individual
SARA TERESA MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
11325 NE WEIDLER ST, PORTLAND, OR 97220-1950
(503) 251-3776
Mailing address
1834 NE HANCOCK ST APT 1, PORTLAND, OR 97212-4590
(208) 720-7112
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5253
OR
Other
Enumeration date
07/11/2007
Last updated
07/11/2007
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