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Individual

JULIETTE MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2055 EXCHANGE ST STE 270, ASTORIA, OR 97103-3419
(503) 338-4670
(503) 338-4671
Mailing address
2111 EXCHANGE ST, ASTORIA, OR 97103-3329

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD179268
OR

Other

Enumeration date
04/27/2012
Last updated
10/13/2017
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