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1366631624
MICHAEL DONALD MOORE
MILWAUKIE, OR
NPI
1366631624
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Professional Name
MICHAEL TIJERINA MOORE
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: WA OT00002754)
Enumeration Date
2007-10-23
Last Update Date
2007-10-23
Business Address
Mr. MICHAEL DONALD MOORE MOT
4560 SE INTERNATIONAL WAY CONSONUS HEALTHCARE SERVICES SUITE 100
MILWAUKIE, OR 97200
Phone number: 971-206-5149
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Mailing Address
Mr. MICHAEL DONALD MOORE MOT
4560 SE INTERNATIONAL WAY CONSONUS HEALTHCARE SERVICES SUITE 100
MILWAUKIE, OR 97200
Phone number: 971-206-5149
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