Individual
PATRICIA LEE MOFFIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PTA
Contact information
Practice address
33175 MCFARLAND RD UNIT 8, TANGENT, OR 97389-9648
(541) 791-3258
(541) 791-3258
Mailing address
33175 MCFARLAND RD UNIT 8, TANGENT, OR 97389-9648
(541) 791-3258
(541) 791-3258
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
200241501RN RN
OR
225200000X
Physical Therapy Assistant
7121
OR
Other
Enumeration date
02/06/2010
Last updated
02/06/2010
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