Individual
TRACY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
205 SE SPOKANE ST STE 356, PORTLAND, OR 97202-6494
(503) 388-4255
(503) 608-4533
Mailing address
205 SE SPOKANE ST STE 300, PORTLAND, OR 97202-6487
(503) 388-4255
(503) 608-4533
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
119517
AK
133V00000X
Registered Dietitian
LD-D-10161588
OR
133V00000X
Registered Dietitian
Primary
LD-D-10266883
OR
Other
Enumeration date
03/04/2016
Last updated
03/19/2026
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