Individual
MOORE LUCK TRINIDAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
992 COUNTRY CLUB RD STE 201, EUGENE, OR 97401-6023
(541) 246-6613
Mailing address
992 COUNTRY CLUB RD STE 201, EUGENE, OR 97401-6023
(541) 246-6613
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9946
MN
Other
Enumeration date
02/13/2023
Last updated
11/13/2023
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