Individual
MARY CATHERINE MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2725 SW CEDAR HILLS BLVD STE 200, BEAVERTON, OR 97005-1435
(503) 214-1697
Mailing address
2418 W MAIN ST, GUN BARREL CITY, TX 75156-3638
(903) 713-2000
(903) 713-2004
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10041565
OR
363LF0000X
Family Nurse Practitioner
287872
MT
363LF0000X
Family Nurse Practitioner
AP126911
TX
Other
Enumeration date
12/09/2014
Last updated
04/13/2026
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