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1235221052
JONI MARIE MOON
PORTLAND, OR
NPI
1235221052
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: OR 1637)
Enumeration Date
2006-09-29
Last Update Date
2007-07-08
Business Address
Mrs. JONI MARIE MOON Psy.D.
12636 SE STARK ST PLAZA 125, BUILDING J
PORTLAND, OR 97233-1058
Phone number: 503-253-4600
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Mailing Address
Mrs. JONI MARIE MOON Psy.D.
PO BOX 82819
PORTLAND, OR 97282-0819
Phone number: 503-233-5404
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