Athena Marie Moore Valid NPI

Individual provider · Specialist · Cascade Locks, OR

NPI

1154280279

Type

Individual (Type 1)

Primary specialty

Specialist

Specialty group

Other Service Providers

Taxonomy code

174400000X

License number

10272869 (OR)

Sex

Female

Sole proprietor

No

Enumerated

2026-01-16

Last updated

2026-06-26