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Individual

DR. HEATHER BAIR MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
111 N 20TH ST, PHILOMATH, OR 97370-9621
(541) 368-4313
Mailing address
3524 SE SHORELINE DR, CORVALLIS, OR 97333-3208
(541) 231-8799

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12896
OR

Other

Enumeration date
04/20/2007
Last updated
07/08/2007
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