Individual
DENISE MARIE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
818 COMMERCIAL ST STE 306, ASTORIA, OR 97103-4553
(503) 468-9606
Mailing address
43540 SYLVANDALE LN, ASTORIA, OR 97103-8406
(503) 468-9606
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
25155
OR
Other
Enumeration date
03/10/2020
Last updated
02/13/2023
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