Individual
DR. MEGAN MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, OHSU, PORTLAND, OR 97239-3011
(503) 494-8211
Mailing address
923 SE 37TH AVE, PORTLAND, OR 97214-4306
(208) 602-6799
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
PG347168
OR
Other
Enumeration date
04/12/2012
Last updated
03/31/2015
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