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Marisa Moon
NPI 1538310701 · on the registry since 2008
Practice
- Address
- 1245 Se 122nd Ave
Portland, OR 97233 - Phone
- (503) 290-8816
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Sex
- Female
- Record last updated
- 2012-07-10
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