Individual provider · Type 1 NPI

Gary S. Moran, LPC

Professional Counselor · Portland, OR

NPI number 1114081353 Active

Practice location

12636 SE Stark St, Plaza 125, Bldg J
Portland, OR 97233-1058

Call (503) 253-4600 Map

Fax (503) 253-4609

Mailing address

3939 NE Hancock St Ste 209
Portland, OR 97212-5321

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist 106H00000X41146 (CA)
Professional Counselor Primary 101YP2500XC3890 (OR)

Professional Counselor: Definition to come...

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About NPI 1114081353

Gary S. Moran, LPC's National Provider Identifier is 1114081353, issued on Dec 21, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Portland, OR. The record was last updated on Oct 5, 2018.