Individual
SYDNEY HOLLOWAY MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3085 RIVER RD N, SALEM, OR 97303-6512
(541) 321-2278
(541) 246-8826
Mailing address
1075 WASHINGTON ST, EUGENE, OR 97401-4606
(541) 321-2278
(541) 246-8826
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
03/07/2022
Last updated
08/12/2024
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