Individual
MICHAEL MOSHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3415 SE POWELL BLVD, PORTLAND, OR 97202-3371
(503) 205-4350
Mailing address
8805 SE 17TH AVE, APT #103, PORTLAND, OR 97202-7303
(208) 790-1386
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/11/2015
Last updated
07/11/2015
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