Moulton, Christine Jane

Moulton, Christine Jane is an individual health care provider with primary practice located at 1939 E Burnside St , Portland OR 97214-1535. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, which is considered as her primary health care specialty. Moulton, Christine Jane can be contacted via phone (503) 233-6141.

Contact Information

Primary practice address
1939 E Burnside St Portland OR 97214-1535
Phone: (503) 233-6141
Fax: (503) 233-2889
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 20586 Oregon

Profile Details

NPI number 1720118151
LBN Legal business name Moulton, Christine Jane
Credentials M.S., CCC-A
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2007
Last updated Jul 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1720118151 NPPES
Oregon MEDICAID 212936
Oregon Other 2432417000
Oregon MEDICAID 9178104
Oregon Other 0054627

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