Moore, Archie Lee

Moore, Archie Lee is an sole proprietor health care provider with primary practice located at 2270 Nw Overton St , Portland OR 97210-2927. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Moore, Archie Lee can be contacted via phone (503) 241-6051.

Contact Information

Primary practice address
2270 Nw Overton St Portland OR 97210-2927
Fax: (503) 222-1357
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1366588618
LBN Legal business name Moore, Archie Lee
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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