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Anne Elizabeth Moorehead

Student in an Organized Health Care Education/Training Program in Portland, OR. Individual provider (NPI-1).

NPI number1669992178
StatusActive
Last updated in NPPESJun 26, 2017

Details

NPI
1669992178
Entity type
Individual (NPI-1)
Name
Miss Anne Elizabeth Moorehead
Sex
Female
Sole proprietor
No
Enumeration date
Jun 26, 2017
Last updated
Jun 26, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

3415 Se Powell Blvd
Portland, OR 97202-3371

Phone 800-273-4292 · Fax 949-253-4627

Mailing address

9701 Se Johnson Creek Blvd Apt Q203
Happy Valley, OR 97086-8209

Phone 503-444-1856

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