Individual provider · Type 1 NPI
Moira K. Ryan, LPC
Mental Health Counselor · Portland, OR
NPI number
1073754982
Active
Practice location
1355 NW Everett St
Portland, OR 97209-2654
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | PC011590 (PA) |
| Mental Health Counselor Primary | 101YM0800X | C7616 (OR) |
Mental Health Counselor: Definition to come...
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About NPI 1073754982
Moira K. Ryan, LPC's National Provider Identifier is 1073754982, issued on Mar 23, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Jan 9, 2025.