Individual
BROOKE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1217 PLAZA BLVD STE E, CENTRAL POINT, OR 97502-2682
(541) 664-2800
(541) 664-0555
Mailing address
16083 SW UPPER BOONES FERRY RD STE 300, TIGARD, OR 97224-7736
(503) 443-6156
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
63393
OR
Other
Enumeration date
08/07/2019
Last updated
08/07/2019
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