Individual
MS. DIANE CALVIN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
(M.A.) L.P.C.
Contact information
Practice address
6950 SW HAMPTON #100, TIGARD, OR 97223
(503) 806-6224
(503) 614-0564
Mailing address
6950 SW HAMPTON #100, TIGARD, OR 97223
(503) 806-6224
(503) 614-0564
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C-1231
OR
Other
Enumeration date
10/15/2008
Last updated
10/15/2008
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