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Individual

GARY S MORAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
12636 SE STARK ST, PLAZA 125, BLDG J, PORTLAND, OR 97233-1058
(503) 253-4600
(503) 253-4609
Mailing address
3939 NE HANCOCK ST STE 209, PORTLAND, OR 97212-5321
(503) 290-8657

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C3890
OR
106H00000X
Marriage & Family Therapist
41146
CA

Other

Enumeration date
12/21/2006
Last updated
10/05/2018
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