Individual
FATIMA MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6400 SE LAKE RD STE 250, PORTLAND, OR 97222-2129
(541) 900-4285
Mailing address
272 NW MEDICAL LOOP STE E, ROSEBURG, OR 97471-5545
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
—
—
104100000X
Social Worker
Primary
A17176
OR
1041C0700X
Clinical Social Worker
—
—
1041S0200X
School Social Worker
—
—
Other
Enumeration date
07/23/2025
Last updated
10/06/2025
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