Amy Leeann Moulden
NPI #1790084630 in Wilsonville, Oregon
Provider Information
- NPI Number
- 1790084630
- Entity Type
- Individual
- Name
- Amy Leeann Moulden
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Adult Companion
- Enumeration Date
- Mar 17, 2011
- Last Updated
- Mar 17, 2011
Practice Location
- Address
- 29197 SW ORLEANS AVE
- City
- Wilsonville
- State
- Oregon
- ZIP Code
- 97070-7388
- Phone
- (503) 238-0769
Specialties & Taxonomy Codes
| Specialty |
|---|
| Adult Companion |
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