Individual
DR. DANIEL RAY MOORE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1800 SW 1ST AVE, SUITE 530, PORTLAND, OR 97201
(503) 222-6611
(503) 222-0560
Mailing address
1800 SW 1ST AVE, SUITE 530, PORTLAND, OR 97201
(503) 222-6611
(503) 222-0560
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4961
OR
Other
Enumeration date
03/29/2006
Last updated
07/08/2007
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