Individual
LEAH MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2021 NE ALBERTA ST, PORTLAND, OR 97211-5847
(503) 384-2489
Mailing address
2021 NE ALBERTA ST, PORTLAND, OR 97211-5847
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
AT-4782
OR
Other
Enumeration date
06/19/2025
Last updated
06/19/2025
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