MICHAEL THOMAS MOODY

PORTLAND, OR
NPI1538739438
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OR  D11624)
Enumeration Date2021-07-01
Last Update Date2023-06-12
Business Address
Dr. MICHAEL THOMAS MOODY DDS
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239-2964
Phone number: 503-220-8262
Mailing Address
Dr. MICHAEL THOMAS MOODY DDS
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239-2964
Phone number: 503-220-8262