ARCHIE LEE MOORE

PORTLAND, OR
NPI1366588618
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2007-01-30
Last Update Date2007-07-08
Business Address
-- ARCHIE LEE MOORE
2270 NW OVERTON ST
PORTLAND, OR 97210-2927
Phone number: 503-241-6051
Mailing Address
-- ARCHIE LEE MOORE
10594 SE CHERRY BLOSSOM DR
PORTLAND, OR 97216-2845
Phone number: 503-241-6051