Healthcare Provider Details

I. General information

NPI: 1689374886
Provider Name (Legal Business Name): EMALEE CHRISTINA MOORE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/06/2023
Last Update Date: 06/30/2025
Certification Date: 06/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5289 NE ELAM YOUNG PKWY STE 140
HILLSBORO OR
97124-7551
US

IV. Provider business mailing address

610 HIGH ST
OREGON CITY OR
97045-2241
US

V. Phone/Fax

Practice location:
  • Phone: 503-372-5147
  • Fax:
Mailing address:
  • Phone: 503-372-5147
  • Fax: 503-266-8632

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: