Allen Kristopher Moore MD

NPI 1174662167 - Orthopaedic Surgery - 207X00000X

NPI Details
NPI 1174662167
Gender Male
Enumeration Date 02/06/2007
Last Updated 08/01/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
1003 PROVIDENCE DR
SUITE 210
NEWBERG OR, 97132-7521, US
Phone (503) 537-5900
Fax (503) 537-5959
Business Location
PO BOX 3158
PORTLAND OR, 97208-3158, US
Phone (503) 215-6494
Fax (503) 215-6644
Toxanomy
Taxonomy Code 207X00000X
License State New Mexico
License Number 2003-0224
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According to our database, Allen Kristopher Moore MD NPI is 1174662167, taxonomy code is 207X00000X and license number is 2003-0224, license state is located at New Mexico. Allen Kristopher Moore MD physically located at 1003 Providence Dr, Newberg OR, 97132-7521. NPI Number Allen Kristopher Moore MD has the Individual type.

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1174662167 NPI number is provided on an as is basis without warranty of any kind. 1174662167 is maintained by the National Plan & Provider Enumeration System. The contents of Allen Kristopher Moore MD are for informational purposes only.