Individual
GAIL ANNE MOSES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1130 NW 22ND AVE, SUITE 220, PORTLAND, OR 97210-2900
(503) 413-8988
Mailing address
PO BOX 3777, PORTLAND, OR 97208-3777
(503) 413-8988
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD28290
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270949
—
OR
Enumeration date
03/22/2006
Last updated
09/27/2011
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