Individual provider · Type 1 NPI

Terry Moody

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

NPI number 1639946148 Active

Practice location

4651 NE Killingsworth St Unit 24
Portland, OR 97218-1950

Call (520) 624-0927 Map

Mailing address

4035 NE Sandy Blvd Ste 200
Portland, OR 97212-5331

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1639946148

Terry Moody's National Provider Identifier is 1639946148, issued on Dec 5, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Portland, OR. The record was last updated on Dec 5, 2023.