Individual
MICHAL SIERRA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1500 NW BETHANY BLVD STE 320, BEAVERTON, OR 97006-5238
(503) 233-5405
Mailing address
20300 SE MORRISON TER APT F2039, GRESHAM, OR 97030-2274
(650) 382-9218
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C7904
OR
101Y00000X
Counselor
R7792
OR
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
12/20/2016
Last updated
03/06/2024
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