Individual
ABIGAIL RAE MOTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1245 BIRCH AVE, COTTAGE GROVE, OR 97424-1413
(541) 767-6098
Mailing address
PO BOX 5, COTTAGE GROVE, OR 97424-0001
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
202209802RN
OR
Other
Enumeration date
05/17/2024
Last updated
07/01/2024
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