DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHAEL MOGA, LD

Active Sole Proprietor

122400000X · BEAVERTON, OR

Registration Details

NPI Number
1730226333
Provider Type
Individual
Gender
Male
NPI Issued
Jan 31, 2007 (19.244613480221 yrs)
Last Updated
Jul 8, 2007
License
DT-DO-188851 (OR)
Sole Proprietor
Yes

Practice Information

Address
12400 SW ALLEN BLVD
SUITE B
BEAVERTON, OR, 970054714
Browse OR providers · Browse ZIP 97005
Phone
5036436213
Primary Specialty
122400000X
122400000X

Other 122400000X Providers in BEAVERTON, OR

Name Credential NPI
MRS. ESTHER C OH 1730391087
KRISTINE S. BAHNG LD 1992918361
JEFFREY JACKY DENTURIST LD 1356791677
MIN-U TAN 1629777552
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.