MIKE MOODY LLC

NPI # 

Practice Address:

2330 Nw Flanders St Ste 204

Portland, OR, 97210-3460

Practice Phone:

503-223-5040

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Dental

Taxonomy Code:

261QD0000X