NPI 1780180141
Kimberly J Moore
Practice location
- Address
- 3737 Portland Rd NE, Salem, OR 97301-0311
- Phone
- (503) 390-2600
Registered specialties
Child Mental Illness Respite Care
Primary
Registry record
- NPI
- 1780180141
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 4 Apr 2018
- Record last updated
- 4 Apr 2018
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.