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1699131763
BRENT MOORE
PORTLAND, OR
NPI
1699131763
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-01-05
Last Update Date
2021-07-07
Business Address
BRENT MOORE LPC
515 NW SALTZMAN RD # 645
PORTLAND, OR 97229-6098
Phone number: 971-710-6013
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Mailing Address
BRENT MOORE LPC
515 NW SALTZMAN RD # 645
PORTLAND, OR 97229-6098
Phone number: 971-710-6013
Copy
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