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Individual

DR. DAVID LEE MOIEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10100 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 786-8435
Mailing address
820 NW 12TH AVE, 604, PORTLAND, OR 97209-3042
(503) 243-3630

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
OR MD11582
OR
208600000X
Surgery Physician
WA MD00035038
WA

Other

Enumeration date
09/02/2006
Last updated
07/21/2022
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