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1063870095
KRISTA MOORE
PORTLAND, OR
NPI
1063870095
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: OR H5720)
Enumeration Date
2016-02-04
Last Update Date
2016-02-25
Business Address
-- KRISTA MOORE RDH
5071 NE 122ND AVE
PORTLAND, OR 97230-1003
Phone number: 503-255-5700
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Mailing Address
-- KRISTA MOORE RDH
7105 SW HAMPTON ST
TIGARD, OR 97223-8314
Phone number:
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