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Individual

ZACHARIAH DEON MOORE-LOPEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1592 MONROE ST, NORTH BEND, OR 97459-3657
(541) 858-8170
Mailing address
3587 HEATHROW WAY, MEDFORD, OR 97504-4004
(541) 858-8170

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
OR

Other

Enumeration date
04/28/2026
Last updated
04/28/2026
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