Individual
CLARISSA MOSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9115 SW OLESON RD, PORTLAND, OR 97223-6875
(510) 328-7178
Mailing address
3120 NE 158TH AVE, PORTLAND, OR 97230-5111
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/02/2019
Last updated
01/02/2019
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