Diane Calvin Moore, (M.A.) L.P.C.
Counselor in Tigard, OR. Individual provider (NPI-1).
NPI number1447402003
StatusActive
Last updated in NPPESOct 15, 2008
Details
- NPI
- 1447402003
- Entity type
- Individual (NPI-1)
- Name
- Ms. Diane Calvin Moore
- Credential
- (M.A.) L.P.C.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 15, 2008
- Last updated
- Oct 15, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | C-1231 | OR | Yes |
Practice location
6950 Sw Hampton #100Tigard, OR 97223
Phone 503-806-6224 · Fax 503-614-0564
Mailing address
6950 Sw Hampton #100Tigard, OR 97223
Phone 503-806-6224 · Fax 503-614-0564
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