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Leah Moran, OD

Optometrist in Portland, OR. Individual provider (NPI-1).

NPI number1750278024
StatusActive
Last updated in NPPESJun 19, 2025

Details

NPI
1750278024
Entity type
Individual (NPI-1)
Name
Leah Moran
Credential
OD
Sex
Female
Sole proprietor
No
Enumeration date
Jun 19, 2025
Certification date
Jun 10, 2025
Last updated
Jun 19, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X OptometristAT-4782ORYes

Practice location

2021 Ne Alberta St
Portland, OR 97211-5847

Phone 503-384-2489

Mailing address

2021 Ne Alberta St
Portland, OR 97211-5847

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