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Individual

MOIRA TOFANELLI-DOUGHERTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
EDS

Contact information

Practice address
501 N DIXON ST, PORTLAND, OR 97227-1876
(503) 916-2000
Mailing address
501 N DIXON ST, PORTLAND, OR 97227-1876
(503) 916-2000

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
143075
OR

Other

Enumeration date
07/15/2026
Last updated
07/15/2026
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