Individual
ANA LUCIA MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1040 WEBBER ST, THE DALLES, OR 97058-3749
(541) 386-6380
Mailing address
1040 WEBBER ST, THE DALLES, OR 97058-3749
(541) 386-6380
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD181199
OR
Other
Enumeration date
03/26/2014
Last updated
10/20/2017
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