CARL MOORE

MEDFORD, OR
NPI1205107877
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence:   professionallicense)
Enumeration Date2012-01-13
Last Update Date2023-08-21
Business Address
CARL MOORE
503 AIRPORT RD STE 101
MEDFORD, OR 97504-4159
Phone number: 541-200-2900
Mailing Address
CARL MOORE
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170