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Mindy Milar Moore, PMHNP
Psychiatric/Mental Health Nurse Practitioner in Portland, Oregon
NPI 1174792998

Mindy Milar Moore is a Psychiatric/Mental Health Nurse Practitioner based in Portland, OR and is specialized in Psychiatric/Mental Health. Mindy Milar Moore practices in Portland, OR and has the professional credentials of PMHNP. The NPI Number for Mindy Milar Moore is 1174792998 and holds a License No. 50112NP (Oregon).

The current practice location address for Mindy Milar Moore is 7975 Sw 83Rd Ave, Portland, OR and can be reached out via phone at 888-667-6467 and via fax at 888-667-6467.

Location: 7975 Sw 83Rd Ave, Portland, OR, 97219-4032
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Provider Profile Details
NPI Number
1174792998
Provider Name
Mindy Milar Moore
Credential
PMHNP
Provider Entity Type
Individual
Gender
Female
Address
7975 Sw 83Rd Ave, Portland, OR, 97219-4032
Phone Number
888-667-6467
Fax Number
888-667-6467
Provider Enumeration Date
02/26/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
50112NP 01 OREGON BOARD OF NURSING
500623422 05 OR
institution
Provider Business Practice Location Address Details
Address
7975 Sw 83Rd Ave
City
State
Zip
97223-7334
Phone Number
888-667-6467
Fax Number
888-667-6467
person
Provider Business Mailing Address Details
Address
7975 Sw 83Rd Ave
City
State
Zip
97223-7334
Phone Number
888-667-6467
Fax Number
888-667-6467
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
50112NP (Oregon)
Definition
Definition to come...
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