Organization
RICHARD W. MOORE DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NINA LE TRINH (OFFICE MANAGER/CFO)
(503) 255-1200
Entity
Organization
Contact information
Practice address
7931 NE HALSEY ST, SUITE 305, PORTLAND, OR 97213-6755
(503) 255-1200
(503) 408-6856
Mailing address
7931 NE HALSEY ST, SUITE 305, PORTLAND, OR 97213-6755
(503) 255-1200
(503) 408-6856
Taxonomy
Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
Primary
663456
OR
Other
Enumeration date
12/12/2008
Last updated
02/03/2009
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