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Individual

SHEONA LEE MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3512 LONE PINE RD, MEDFORD, OR 97504-5637
(541) 779-2003
Mailing address
300 W MAIN ST, MEDFORD, OR 97501-2756
(541) 772-1777
(541) 734-2410

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
247000000X
Health Information Technician
OR

Other

Enumeration date
12/19/2019
Last updated
03/10/2023
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