MADELINE ROSE MOON

PORTLAND, OR
NPI1326811183
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OR  T-23-3214)
Enumeration Date2023-11-03
Last Update Date2023-11-03
Business Address
MADELINE ROSE MOON CADC-R
324 NW DAVIS ST
PORTLAND, OR 97209-3925
Phone number: 503-226-2203
Mailing Address
MADELINE ROSE MOON CADC-R
324 NW DAVIS ST
PORTLAND, OR 97209-3925
Phone number: 503-226-2203
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