Moving Boundaries, Inc | |
1375 Sw Blaine Ct Gresham OR 97080-5383 | |
(503) 661-4126 | |
(503) 661-5304 |
Full Name | Moving Boundaries, Inc |
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Speciality | Psychologist |
Location | 1375 Sw Blaine Ct, Gresham, Oregon |
Authorized Official Name and Position | Elizabeth Kirkhart (VICE PRESIDENT) |
Authorized Official Contact | 5036614126 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Moving Boundaries, Inc 1375 Sw Blaine Ct Gresham OR 97080-5383 Ph: (503) 661-4126 | Moving Boundaries, Inc 1375 Sw Blaine Ct Gresham OR 97080-5383 Ph: (503) 661-4126 |
NPI Number | 1669597530 |
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Provider Enumeration Date | 03/20/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669597530 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 1082 (Oregon) | Primary |
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