Richard W. Moore DDS PC

NPI #1841435203 in Portland, Oregon

Provider Information

NPI Number: 1841435203
Entity Type: Organization
Organization Name: Richard W. Moore DDS PC
Primary Specialty: Specialist/Technologist
Enumeration Date: Dec 12, 2008
Last Updated: Feb 3, 2009

Practice Location

Address: 7931 NE HALSEY ST
Address 2: SUITE 305
City: Portland
State: Oregon
ZIP Code: 97213-6755
Phone: (503) 255-1200

Authorized Official

Name: NINA LE TRINH
Title: OFFICE MANAGER/CFO
Phone: (503) 255-1200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist	225500000X	Primary

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