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1578924684
STEPHEN MOORE
PORTLAND, OR
NPI
1578924684
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: OR 201040129RN)
Enumeration Date
2016-03-16
Last Update Date
2016-03-16
Business Address
-- STEPHEN MOORE
3545 SE LONG ST
PORTLAND, OR 97202-3342
Phone number: 503-327-8820
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Mailing Address
-- STEPHEN MOORE
3545 SE LONG ST
PORTLAND, OR 97202-3342
Phone number: 503-327-8820
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