Individual
COURTNEY VALE MOSES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LE
Contact information
Practice address
12950 SW PACIFIC HWY STE 243, TIGARD, OR 97223-5061
(503) 343-5596
Mailing address
12950 SW PACIFIC HWY STE 243, TIGARD, OR 97223-5061
(503) 343-5596
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
BAP-E-10273641
OR
Other
Enumeration date
07/24/2026
Last updated
07/24/2026
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