Individual
GAYLENE MOYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCMA
Contact information
Practice address
3975 MIDWAY DRIVE, BAKER CITY, OR 97814-1005
(541) 524-9070
(541) 524-9077
Mailing address
PO BOX 1005, BAKER CITY, OR 97814-1005
(541) 524-9070
(541) 524-9077
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/02/2016
Last updated
08/02/2016
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