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1346497120
DAVID MOORE
PORTLAND, OR
NPI
1346497120
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2008-08-22
Last Update Date
2016-10-21
Business Address
DAVID MOORE
12511 SE RAYMOND ST
PORTLAND, OR 97236-3931
Phone number: 503-761-2580
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Mailing Address
DAVID MOORE
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170
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