Individual
MARY MAJOR MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
335 NE 4TH ST # DT, BEND, OR 97701-5162
(541) 669-7506
Mailing address
PO BOX 8025, BEND, OR 97708-8025
(541) 419-7965
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
01/30/2020
Last updated
01/30/2020
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