Organization
MOORE THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEAI ROSE (CREDENTIALING SPECIALIST)
(602) 657-6917
Entity
Organization
Contact information
Practice address
2053 SE 181ST AVE, PORTLAND, OR 97233
(503) 673-6161
(480) 405-7775
Mailing address
465 NE 181ST AVE # 215, PORTLAND, OR 97230-6660
(503) 673-6161
(480) 405-7775
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/20/2020
Last updated
08/20/2020
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