DELANTE ASIM MOXLEY

PORTLAND, OR
NPI1992399695
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2021-02-23
Last Update Date2021-02-23
Business Address
DELANTE ASIM MOXLEY
9320 SW BARBUR BLVD STE 200
PORTLAND, OR 97219-5499
Phone number: 503-222-9661
Mailing Address
DELANTE ASIM MOXLEY
9320 SW BARBUR BLVD STE 200
PORTLAND, OR 97219-5499
Phone number: 503-222-9661