Individual
ANDREA R MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3810 S 6TH ST STE 210, KLAMATH FALLS, OR 97603-4760
(458) 232-1854
(458) 232-1855
Mailing address
3810 S 6TH ST STE 210, KLAMATH FALLS, OR 97603-4760
(458) 232-1854
(458) 232-1855
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
PA150607
OR
Other
Enumeration date
01/23/2008
Last updated
04/16/2024
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