Larry L Moffett, DO

NPI #1194789453 in Clackamas, Oregon

Provider Information

NPI Number: 1194789453
Entity Type: Individual
Name: Larry L Moffett, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: Apr 13, 2006
Last Updated: Mar 17, 2010

Practice Location

Address: 11211 SE SUNNYSIDE RD
City: Clackamas
State: Oregon
ZIP Code: 97015-7787
Phone: (503) 659-0880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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