Moran, Patrick J

Moran, Patrick J is an individual health care provider with primary practice located at 1631 Sw Columbia St , Portland OR 97201-6025. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Moran, Patrick J can be contacted via phone (503) 231-2641.

Contact Information

Primary practice address
1631 Sw Columbia St Portland OR 97201-6025
Phone: (503) 231-2641
Fax: (503) 231-1654
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1450 Oregon

Profile Details

NPI number 1710978341
LBN Legal business name Moran, Patrick J
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Mar 27th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710978341 NPPES
Oregon MEDICAID 500640072

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