Individual
DR. ERIC MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2730 SW MOODY AVE, PORTLAND, OR 97201-5042
(503) 245-7579
Mailing address
2730 SW MOODY AVE., PORTLAND, OR 97201-5042
(503) 245-7579
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D7496
OR
Other
Enumeration date
12/21/2006
Last updated
07/29/2014
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