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1871002725
KELLY ANNE MOORE
BEAVERTON, OR
NPI
1871002725
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: OR 391117)
Enumeration Date
2017-09-22
Last Update Date
2018-04-02
Business Address
Dr. KELLY ANNE MOORE OT
14645 SW FARMINGTON RD
BEAVERTON, OR 97007-2727
Phone number: 503-643-8626
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Mailing Address
Dr. KELLY ANNE MOORE OT
11761 NW BLACKHAWK DR
PORTLAND, OR 97229-8807
Phone number: 503-778-0551
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