Search › Oregon › 171100000X
Genevieve Moore, LAC
NPI 1477077212 · on the registry since 2017 · sole proprietor
Practice
- Address
- 2161 Ne Broadway
Portland, OR 97232 - Phone
- (503) 679-3872
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon