MS. Theresa Nmi Moller, PA

NPI #1942319140 in Beaverton, Oregon

Provider Information

NPI Number: 1942319140
Entity Type: Individual
Name: MS. Theresa Nmi Moller, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Aug 30, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 4855 SW WESTERN AVE
City: Beaverton
State: Oregon
ZIP Code: 97005-3460
Phone: (503) 643-7565

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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