Most Relevant Information
Provider Data
| NPI Number: | 1003341678 |
| Provider Name: | HAYLEY MOORE |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/20/2017 |
| Last Updated: | 04/24/2017 |
Provider Practice Location
1312 SW WASHINGTON ST
PORTLAND
OR
972052327
Practice Location Phone/Fax
| Phone: | 5035351151 |
| Fax: |
Provider Mailing Location
930 NW 25TH PL
320
PORTLAND
OR
972102872
Provider Mailing Phone/Fax
| Phone: | 6508232174 |
| Fax: |