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1366588618
ARCHIE LEE MOORE
PORTLAND, OR
NPI
1366588618
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-01-30
Last Update Date
2007-07-08
Business Address
-- ARCHIE LEE MOORE
2270 NW OVERTON ST
PORTLAND, OR 97210-2927
Phone number: 503-241-6051
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Mailing Address
-- ARCHIE LEE MOORE
10594 SE CHERRY BLOSSOM DR
PORTLAND, OR 97216-2845
Phone number: 503-241-6051
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