Moffit, Mary
Moffit, Mary is an sole proprietor health care provider with primary practice located at 14523 Westlake Dr , Lake Oswego OR 97035-7700. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Moffit, Mary can be contacted via phone (503) 696-3308.Contact Information
Primary practice address
14523 Westlake Dr
Lake Oswego OR 97035-7700
Phone: (503) 696-3308
Fax: (503) 624-1668
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 1205 | Oregon |
Profile Details
NPI number | 1164503462 |
---|---|
LBN Legal business name | Moffit, Mary |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 17th, 2006 |
Last updated | Jul 8th, 2007 - about 17 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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