SAMUEL MOODY

PORTLAND, OR
NPI1710655584
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: OR  PA217671)
Enumeration Date2021-09-05
Last Update Date2024-01-09
Business Address
SAMUEL MOODY PA-C
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-6596
Mailing Address
SAMUEL MOODY PA-C
1400 SW 5TH AVE STE 500
PORTLAND, OR 97201-5537
Phone number: 866-617-6855
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