Individual
KELLY MOORE HARMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5221 WINDSOR TER, WEST LINN, OR 97068-3412
(503) 516-2331
Mailing address
5221 WINDSOR TER, WEST LINN, OR 97068-3412
(503) 516-2331
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
09339
OR
Other
Enumeration date
06/23/2016
Last updated
06/23/2016
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