Most Relevant Information
Provider Data
| NPI Number: | 1003413758 |
| Provider Name: | FRANCES K MOORE LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 201809630LPN |
Most Important Dates
| Enumeration Date: | 10/06/2020 |
| Last Updated: | 10/06/2020 |
Provider Practice Location
2073 OLYMPIC ST
SPRINGFIELD
OR
974773413
Practice Location Phone/Fax
| Phone: | 5416823550 |
| Fax: |
Provider Mailing Location
2073 OLYMPIC ST
SPRINGFIELD
OR
974773413
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |