Individual
SARA MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
4230 NE 65TH AVE, PORTLAND, OR 97218-3228
(253) 691-6478
Mailing address
2500 NE 65TH AVE, VANCOUVER, WA 98661-6812
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
013272
OR
235Z00000X
Speech-Language Pathologist
60697488
WA
Other
Enumeration date
07/26/2017
Last updated
08/18/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us