Stacey L S Moore in Gresham - Occupational Therapist
Stacey L S Moore - NPI 1558426593
Stacey L S Moore is a Occupational Therapist in Gresham, Oregon. Stacey L S Moore practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Stacey L S Moore is 1558426593. The last update date is 2023-09-19.
Stacey L S Moore's current location address is 2895 Se Powell Valley Rd, Gresham, Oregon. You can contact this provider via phone number 9715715319. The mailing address for Stacey L S Moore is 2895 Se Powell Valley Rd, Gresham, Oregon. To know further, please read the information below!
Provider Profile Detail
Provider Name | Stacey L S Moore |
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Address | 2895 Se Powell Valley Rd, Gresham, Oregon |
Phone Number | 9715715319 |
Fax Number | |
Sole Proprietor | Y |
Credentials | MOTR/L |
NPI Number Detail
NPI Number | 1558426593 |
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Provider Enumeration Date | 2006-12-27 |
Last Updated Date | 2023-09-19 |
Provider Mailing Address Detail
Address | 2895 Se Powell Valley Rd |
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City | Gresham |
State | Oregon (OR) |
Post Code | 970801492 |
Phone Number | 9715715319 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Occupational Therapist |
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Taxonomy | 225X00000X |
Licence No | OC-009631 |
Definition: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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101847812 0001 | PA | -- |
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What is the unique 10-digit identifier code issued to Stacey L S Moore by the Centers for Medicare & Medicaid Services?
The Stacey L S Moore has been assigned the NPI (National Provider Identifier) 1558426593 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Stacey L S Moore's facilities are situated?
The facilities of Stacey L S Moore are physically located at the following address: 2895 Se Powell Valley Rd, Gresham, OR, 970801492.
What is Stacey L S Moore's specialized field of practice, and what is the corresponding taxonomy classification code?
The Stacey L S Moore's area of specialization is Occupational Therapist, and the corresponding taxonomy code that categorizes this field of practice is 225X00000X.
When did the Stacey L S Moore receive its 1558426593?
The Stacey L S Moore was issued its 1558426593 on 2006-12-27, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Stacey L S Moore most recently updated or revised?
The information pertaining to Stacey L S Moore, including its address, specialty, and other relevant details, was last updated or revised on 2023-09-19.