Individual
BRENT MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
515 NW SALTZMAN RD # 645, PORTLAND, OR 97229-6098
(971) 710-6013
Mailing address
515 NW SALTZMAN RD # 645, PORTLAND, OR 97229-6098
(971) 710-6013
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/05/2016
Last updated
07/07/2021
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