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Individual

ASHLEY PEYTON MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
9311 SW TREBLE LN, PORTLAND, OR 97225-1264
(541) 708-1984
(541) 512-5750
Mailing address
9311 SW TREBLE LN, PORTLAND, OR 97225-1264
(541) 708-1984
(541) 512-5750

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C7645
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500739019
OR
Enumeration date
10/30/2013
Last updated
10/09/2025
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