Steven Philip Moore

NPI #1558903047 in Beaverton, Oregon

Provider Information

NPI Number: 1558903047
Entity Type: Individual
Name: Steven Philip Moore
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 16, 2019
Last Updated: Oct 16, 2019

Practice Location

Address: 1800 NW 169TH PL STE B100
City: Beaverton
State: Oregon
ZIP Code: 97006-7362
Phone: (503) 350-7050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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