Individual
LINDSAY MOLDOVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
631 NE 102ND AVE, PORTLAND, OR 97220-4004
(971) 256-5766
Mailing address
1805 NW 173RD AVE APT 1403, BEAVERTON, OR 97006-7377
(503) 660-8095
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
R6090
OR
Other
Enumeration date
10/11/2017
Last updated
06/27/2023
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