Individual
NATALIA MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3439 SE HAWTHORNE BLVD # 1044, PORTLAND, OR 97214-5048
(971) 309-1780
Mailing address
6510 SW 21ST AVE, PORTLAND, OR 97239-1916
(056) 416-6862
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
A15573
OR
Other
Enumeration date
09/16/2021
Last updated
09/15/2024
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