| Jeff A Moody Llc | |
|
8215 Sw Tualatin Sherwood Rd Ste 200 Tualatin OR 97062-8620 | |
| (971) 254-3762 | |
| (971) 279-7352 |
| Full Name | Jeff A Moody Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 8215 Sw Tualatin Sherwood Rd Ste 200, Tualatin, Oregon |
| Authorized Official Name and Position | Jeff Moody (OWNER/PROVIDER) |
| Authorized Official Contact | 9712543762 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeff A Moody Llc 801 E Hilltop Dr Newberg OR 97132-9044 Ph: (405) 620-3508 | Jeff A Moody Llc 8215 Sw Tualatin Sherwood Rd Ste 200 Tualatin OR 97062-8620 Ph: (971) 254-3762 |
| NPI Number | 1619595600 |
|---|---|
| Provider Enumeration Date | 07/07/2020 |
| Last Update Date | 07/07/2020 |
| Certification Date | 07/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619595600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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