Individual
TERRI L MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
400 HICKORY STREET NW, SUITE 200, ALBANY, OR 97321-1700
(541) 812-5800
Mailing address
PO BOX 1188, CORVALLIS, OR 97339-1188
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
083038699RN
OR
363L00000X
Nurse Practitioner
Primary
083038699N7
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210824
—
OR
Enumeration date
07/17/2006
Last updated
11/03/2020
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