Individual
PEGGY MARGARET MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
28150 SE HIGHWAY 212, SUITE A, BORING, OR 97009-9100
(503) 663-1442
(503) 663-1443
Mailing address
28150 SE HIGHWAY 212, SUITE A, BORING, OR 97009-9100
(503) 663-1442
(503) 663-1443
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6413
OR
Other
Enumeration date
06/21/2012
Last updated
06/21/2012
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