NPI 1528621034

Tessi Jewel Moss

Practitioner Nurse's Aide Corvallis, OR

Practice location

Address: 4455 NE Highway 20, Corvallis, OR 97330-9695
Phone: (541) 758-5953

Registered specialties

Nurse's Aide Primary

Nursing Service Related Providers Taxonomy 376K00000X Licence 200911622CNA (OR)

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Registry record

NPI: 1528621034
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Apr 2019
Record last updated: 19 Apr 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.