LARRY L MOFFETT

CLACKAMAS, OR
NPI1194789453
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: OR  DO15179)
Enumeration Date2006-04-13
Last Update Date2010-03-17
Business Address
-- LARRY L MOFFETT DO
11211 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-7787
Phone number: 503-659-0880
Mailing Address
-- LARRY L MOFFETT DO
PO BOX 92900
PORTLAND, OR 97292-0900
Phone number: 503-659-0880
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