Moran, Gary S

Moran, Gary S is an sole proprietor health care provider with primary practice located at 12636 Se Stark St Plaza 125, Bldg J, Portland OR 97233-1058. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Moran, Gary S can be contacted via phone (503) 253-4600.

Contact Information

Primary practice address
12636 Se Stark St Plaza 125, Bldg J Portland OR 97233-1058
Phone: (503) 253-4600
Fax: (503) 253-4609
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 41146 California
Behavioral Health & Social Service Providers / Professional 101YP2500X C3890 Oregon

Profile Details

NPI number 1114081353
LBN Legal business name Moran, Gary S
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 21st, 2006
Last updated Oct 5th, 2018 - about 6 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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