Tasha Ann Moore QMHA

NPI 1043350747 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1043350747
Gender Female
Enumeration Date 02/08/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
PORTLAND OR, 97209-3517, US
Phone (503) 222-4906
Fax (503) 222-3215
Business Location
7112 NE 94TH AVE
VANCOUVER WA, 98662-3836, US
Phone (360) 566-5065
Taxonomy Code 171M00000X
License State
License Number
Remove 1043350747 NPI Number

According to our database, Mrs. Tasha Ann Moore QMHA NPI is 1043350747, taxonomy code is 171M00000X Tasha Ann Moore QMHA physically located at 707 Nw Everett St, Portland OR, 97209-3517. NPI Number Tasha Ann Moore QMHA has the Individual type.

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1043350747 NPI number is provided on an as is basis without warranty of any kind. 1043350747 is maintained by the National Plan & Provider Enumeration System. The contents of Tasha Ann Moore QMHA are for informational purposes only.