VICTORIA GRACE MOSSE

PORTLAND, OR
NPI1104807585
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OR  AT-AT 503236)
Enumeration Date2005-11-10
Last Update Date2007-07-08
Business Address
Ms. VICTORIA GRACE MOSSE MA, ATC,PTA
1620 SE ANKENY ST
PORTLAND, OR 97214-1448
Phone number: 503-546-0620
Mailing Address
Ms. VICTORIA GRACE MOSSE MA, ATC,PTA
7108 N IVANHOE ST
PORTLAND, OR 97203-3943
Phone number: 503-289-6361