Individual provider · Type 1 NPI

Sherwin H. Moscow, MA

Addiction (Substance Use Disorder) Counselor · Gresham, OR

NPI number 1760595441 Active

Practice location

1550 NW Eastman Pkwy
Gresham, OR 97030-3858

Fax (503) 571-0720

Mailing address

5264 NE 121st Ave Apt 315
Vancouver, WA 98682-2160

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XOR88-09-01 (OR)
Addiction (Substance Use Disorder) Counselor 101YA0400XCP00005723 (WA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1760595441

Sherwin H. Moscow, MA's National Provider Identifier is 1760595441, issued on Aug 16, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Gresham, OR. The record was last updated on Jul 8, 2007.