Kevin Moore is a Massage Therapist in Portland, Oregon. Kevin Moore practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Kevin Moore is 1720114044. The last update date is 2007-07-08.
Kevin Moore's current location address is 2617 Nw Thurman St, Portland, Oregon. You can contact this provider via phone number 5032244599. The mailing address for Kevin Moore is 2617 Nw Thurman St, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kevin Moore |
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Address | 2617 Nw Thurman St, Portland, Oregon |
Phone Number | 5032244599 |
Fax Number | |
Sole Proprietor | Y |
Credentials | LMT |
NPI Number Detail
NPI Number | 1720114044 |
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Provider Enumeration Date | 2007-02-23 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 2617 Nw Thurman St |
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City | Portland |
State | Oregon (OR) |
Post Code | 972102202 |
Phone Number | 5032244599 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Massage Therapist |
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Taxonomy | 225700000X |
Licence No | 7647 |
Definition: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
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What is the Kevin Moore's 1720114044?
The Kevin Moore's NPI (National Provider Identifier) Number is 1720114044. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Kevin Moore?
The Kevin Moore is physically situated at 2617 Nw Thurman St, in the city of Portland, state of OR, with the postal code 972102202.
What is Kevin Moore's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kevin Moore is Massage Therapist, and the taxonomy classification code that categorizes this area of expertise is 225700000X.
On what date was the 1720114044 assigned to Kevin Moore?
The Kevin Moore was issued its 1720114044 on 2007-02-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Kevin Moore most recently updated or revised?
The details related to Kevin Moore, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.