Individual
ROCHELLE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5910 ULALI DR NE, KEIZER, OR 97303-1500
(503) 813-2000
Mailing address
5910 ULALI DR NE, KEIZER, OR 97303-1500
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
08/13/2019
Last updated
08/13/2019
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