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1942957220
MEREDITH MOORE
PORTLAND, OR
NPI
1942957220
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2022-03-07
Last Update Date
2025-01-17
Business Address
MEREDITH MOORE
825 NE 20TH AVE STE 250
PORTLAND, OR 97232-2282
Phone number: 503-917-5737
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Mailing Address
MEREDITH MOORE
825 NE 20TH AVE STE 250
PORTLAND, OR 97232-2282
Phone number: 503-917-5737
Copy
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