Individual
KRISTEN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1280 NW SALTZMAN RD, PORTLAND, OR 97229-5642
(503) 341-5689
Mailing address
17588 NW COUNTRY DR, PORTLAND, OR 97229-3381
(503) 341-5689
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
11/01/2019
Last updated
11/01/2019
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