MS. Diane Calvin Moore, (M.A.) L.P.C.

NPI #1447402003 in Tigard, Oregon

Provider Information

NPI Number: 1447402003
Entity Type: Individual
Name: MS. Diane Calvin Moore, (M.A.) L.P.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: (M.A.) L.P.C.
Enumeration Date: Oct 15, 2008
Last Updated: Oct 15, 2008

Practice Location

Address: 6950 SW HAMPTON #100
City: Tigard
State: Oregon
ZIP Code: 97223
Phone: (503) 806-6224

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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