IndividualActive
Elise Princehouse Moore, DPT
NPI 1235796293 · Physical Therapist · Silverton, OR
Provider details
- NPI number
- 1235796293
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- No
- License
- 63267 (OR)
Mailing address
601 N 1st Ave
Stayton, OR 97383-1704
Registry dates
- Enumerated
- 2019-05-24
- Last updated
- 2024-07-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.