Moore, Audrey Elaine

Moore, Audrey Elaine is an individual health care provider with primary practice located at 702 Sunset Dr , Ontario OR 97914-3121. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Moore, Audrey Elaine can be contacted via phone (541) 889-9167.

Contact Information

Primary practice address
702 Sunset Dr Ontario OR 97914-3121
Phone: (541) 889-9167
Fax: (541) 889-7873
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1558043687
LBN Legal business name Moore, Audrey Elaine
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2023
Last updated Aug 7th, 2023 - about 3 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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