Individual
MARISA MOONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17420 MEINIG AVE, SANDY, OR 97055-8068
(503) 427-0118
Mailing address
17420 MEINIG AVE, SANDY, OR 97055-8068
(503) 427-0118
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
17914
OR
Other
Enumeration date
06/09/2022
Last updated
04/24/2025
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