Individual
CHRISTINE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
4850 SW SCHOLLS FERRY RD STE 301, PORTLAND, OR 97225-1696
(503) 504-7051
Mailing address
3202 SW MARICARA ST, PORTLAND, OR 97219-6908
(503) 504-7051
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
015316
OR
Other
Enumeration date
07/02/2014
Last updated
12/05/2023
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