Individual
MISS ANNE ELIZABETH MOOREHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3415 SE POWELL BLVD, PORTLAND, OR 97202-3371
(800) 273-4292
(949) 253-4627
Mailing address
9701 SE JOHNSON CREEK BLVD APT Q203, HAPPY VALLEY, OR 97086-8209
(503) 444-1856
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/26/2017
Last updated
06/26/2017
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