Individual
ELIZABETH MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
6516 NE SISKIYOU ST, PORTLAND, OR 97213-4572
(503) 908-6120
Mailing address
6516 NE SISKIYOU ST, PORTLAND, OR 97213-4572
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
18831
OR
Other
Enumeration date
06/23/2026
Last updated
06/23/2026
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