Individual
MEGAN MARIE MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
322 SW 11TH AVE, PORTLAND, OR 97205-2601
(971) 380-3150
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
(503) 238-0769
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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