Individual
CHAD MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2504 PORTLAND RD, STE A, NEWBERG, OR 97132-1971
(503) 538-9119
(503) 964-9544
Mailing address
2504 PORTLAND RD, STE A, NEWBERG, OR 97132-1971
(503) 538-9119
(503) 964-9544
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5127
OR
Other
Enumeration date
02/22/2013
Last updated
01/10/2017
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