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Contact Information

JEREMIAH Z MOORE, DPT
8495 CRATER LAKE HWY
U.S. DEPARTMENT OF VETERANS AFFAIRS - SORCC
WHITE CITY, OR97503
 Phone: 541-826-2111
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for JEREMIAH Z MOORE · (Male)

NPI # 1407184922
Status Active
Credentials DPT (Doctorate of Physical Therapy)
Entity Individual
Enumeration date 11/20/2009
Last updated 08/06/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • OR License # 5649
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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