Individual
DANIELLE MOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
707 SW GAINES ST, PORTLAND, OR 97239-2901
(503) 494-6337
(503) 494-6868
Mailing address
707 SW GAINES ST, PORTLAND, OR 97239-2901
(503) 494-6337
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3189
OR
Other
Enumeration date
07/10/2019
Last updated
03/01/2023
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