Individual
KATHRYN L MOEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T
Contact information
Practice address
2865 NW 29TH ST, CORVALLIS, OR 97330-3516
(541) 752-0083
Mailing address
2865 NW 29TH ST, CORVALLIS, OR 97330-3516
(541) 243-8199
(541) 286-4485
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3270
OR
Other
Enumeration date
02/15/2007
Last updated
04/04/2019
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