Individual
ANNA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7916 SE FOSTER RD, PORTLAND, OR 97206-4289
(971) 407-4131
Mailing address
2333 SE 12TH AVE, PORTLAND, OR 97214-5323
(971) 407-4131
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/01/2025
Last updated
09/01/2025
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