Individual
MORGAN VIRGINIA SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10564 SE WASHINGTON ST, PORTLAND, OR 97216-2809
(971) 806-0587
Mailing address
5224 N VANCOUVER AVE APT 8, PORTLAND, OR 97217-2768
(503) 676-0539
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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