Individual
THOMAS MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
5331 SW MACADAM AVE, SUITE 363, PORTLAND, OR 97239-6104
(503) 227-4377
Mailing address
2934 NE 16TH AVE, PORTLAND, OR 97212-3345
(503) 227-4377
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
892
OR
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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