Individual
JACQUELINE ARMSTRONG MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4800 S MACADAM AVE STE 230, PORTLAND, OR 97239-3927
(971) 266-2042
Mailing address
4800 S MACADAM AVE STE 230, PORTLAND, OR 97239-3927
(518) 570-0149
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L11632
OR
Other
Enumeration date
01/08/2024
Last updated
11/29/2024
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