Search › Oregon › 104100000X
Jacob Moss
NPI 1053621912 · on the registry since 2010
Practice
- Address
- 12636 Se Stark St
Plaza 125, Bldg J
Portland, OR 97233 - Phone
- (503) 253-4600
- Fax
- (503) 253-4609
- Organisation at this address
- Western Psychological And Counseling Services Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 44
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Sex
- Male
- Record last updated
- 2014-07-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon