Individual
REBECCA NOEL MOEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4560 SE INTERNATIONAL WAY, SUITE 101, MILWAUKIE, OR 97222-4628
(971) 206-5203
Mailing address
2699 SW WILLOWBROOK AVE, GRESHAM, OR 97080-8540
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/14/2016
Last updated
04/14/2016
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