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 9 years ago
Practice Location
707 NW EVERETT ST
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
Fax
Toxanomy
Taxonomy Code 171M00000X
License State
License Number
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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.