Individual
RAQUEL MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3896 BEVERLY AVE NE STE 40, SALEM, OR 97305-1374
(503) 588-0076
(503) 588-7578
Mailing address
3896 BEVERLY AVE NE STE 40, SALEM, OR 97305-1374
(503) 588-0076
(503) 588-7578
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA202068
OR
Other
Enumeration date
05/31/2019
Last updated
02/23/2021
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