Fallon Moore

NPI #1336805027 in Dallas, Oregon

Provider Information

NPI Number
1336805027
Entity Type
Individual
Name
Fallon Moore
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapist
Enumeration Date
Nov 16, 2021
Last Updated
Nov 16, 2021

Practice Location

Address
182 SW ACADEMY ST
City
Dallas
State
Oregon
ZIP Code
97338-1996
Phone
(503) 623-9289

Specialties & Taxonomy Codes

Specialty
Occupational Therapist

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