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LLOYD TETSUO MORITA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1002 N BOONES FERRY RD, WOODBURN, OR 97071-9602
(503) 981-9526
(503) 982-3814
Mailing address
1002 N BOONES FERRY RD, WOODBURN, OR 97071-9602
(503) 981-9526
(503) 982-3814

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MDO8923
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001 373 000
BCBS
OR
05
125799
OR
05
8504037
WA
Enumeration date
11/28/2006
Last updated
10/03/2008
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