Individual
DR. WILLIAM MOORE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2900 NE 132ND AVE, PORTLAND, OR 97230-3014
(503) 260-3204
Mailing address
16677 NE RUSSELL ST APT 121, PORTLAND, OR 97230-5964
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
5609
OR
Other
Enumeration date
03/09/2015
Last updated
03/09/2015
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