Rochelle Moore

NPI #1700432044 in Keizer, Oregon

Provider Information

NPI Number: 1700432044
Entity Type: Individual
Name: Rochelle Moore
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dental Assistant
Enumeration Date: Aug 13, 2019
Last Updated: Aug 13, 2019

Practice Location

Address: 5910 ULALI DR NE
City: Keizer
State: Oregon
ZIP Code: 97303-1500
Phone: (503) 813-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Assistant	126800000X	Primary

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