Individual
LORI MOSHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1260 SE EVANS CIR, TROUTDALE, OR 97060-2284
(503) 804-2529
Mailing address
1260 SE EVANS CIR, TROUTDALE, OR 97060-2284
(503) 804-2529
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7531
OR
Other
Enumeration date
12/13/2016
Last updated
12/13/2016
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