Individual
EMILY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA HUMAN PHYSIOLOGY
Contact information
Practice address
89124 MARCOLA RD, SPRINGFIELD, OR 97478-8780
(541) 741-7402
Mailing address
65 HATTON AVE APT 202, EUGENE, OR 97404-6806
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/30/2022
Last updated
11/30/2022
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