Terry Moody - Portland, OR

Terry Moody

Student in an Organized Health Care Education/Training Program in Portland, Oregon

NPI 1639946148

Terry Moody is a Student in an Organized Health Care Education/Training Program based in Portland, OR. Terry Moody practices in Portland, OR. The NPI Number for Terry Moody is 1639946148 and holds a License No. (Oregon).

The current practice location address for Terry Moody is 4651 Ne Killingsworth St Unit 24, Portland, OR and can be reached out via phone at 520-624-0927.

Location: 4651 Ne Killingsworth St Unit 24, Portland, OR, 97212-5331

NPI Number

1639946148

Provider Name

Terry Moody

Credential

Provider Entity Type

Individual

Gender

Female

Address

4651 Ne Killingsworth St Unit 24, Portland, OR, 97212-5331

Phone Number

520-624-0927

Fax Number

Provider Enumeration Date

12/05/2023

Last Update Date

03/10/2024

Address

4651 Ne Killingsworth St Unit 24

City

Portland

State

Oregon

Zip

97218-1950

Phone Number

520-624-0927

Fax Number

Address

4651 Ne Killingsworth St Unit 24

City

Portland

State

Oregon

Zip

97218-1950

Phone Number

520-624-0927

Fax Number

Type

Student, Health Care

Classification

Student in an Organized Health Care Education/Training Program

Speciality

Taxonomy

390200000X

License No.

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Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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