Individual provider · Type 1 NPI
Mindy Milar Moore, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Portland, OR
NPI number
1174792998
Active
Practice location
7975 SW 83rd Ave
Portland, OR 97223-7334
Fax (888) 667-6467
Mailing address
8959 SW Barbur Blvd Ste 115
Portland, OR 97219-4032
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 50112NP (OR) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1174792998
Mindy Milar Moore, PMHNP's National Provider Identifier is 1174792998, issued on Feb 26, 2008. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Portland, OR. The record was last updated on Feb 7, 2019.