Individual
CHRISTINA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
101 N GRAPE ST, MEDFORD, OR 97501-2718
(541) 776-8590
Mailing address
101 N GRAPE ST, MEDFORD, OR 97501-2718
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
10001798
OR
Other
Enumeration date
12/15/2025
Last updated
12/15/2025
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