Provider Information for 1447326491
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Dr. REBECCA MARIE MILLER-MOE Ph.D.
Sex: Female
NPI: 1447326491
Last Updated: 2007-07-08
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1447326491 | ||||||||
| Enumeration Date | 2006-11-28 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 2659 COMMERCIAL ST SE SUITE 200 SALEM, OR 97302-4445 United States Phone: 503-581-0657 | Fax:503-581-4025 | ||||||||
| Primary Practice Address | 2659 COMMERCIAL ST SE SUITE 200 SALEM, OR 97302-4445 United States Phone: 503-581-0657 | Fax:503-581-4025 | ||||||||
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