MEDICARE: MORGAN LOONEY LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	C4772	OR

General Provider Information

NPI Number	:	1023261526
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MORGAN LOONEY LPC

Provider Business Mailing Address
First Line	:	7130 NE ROSELAWN ST
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97218-3442
Country	:	US
Telephone Number	:	503-714-1370
Fax Number	:

Provider Business Practice Location Address
First Line	:	388 STATE ST
Second Line	:
City	:	SALEM
State	:	OR
Zip	:	97301-3866
Country	:	US
Telephone Number	:	503-714-1370
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/28/2008
Last Update Date	:	02/08/2018

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Directions to “ MORGAN LOONEY LPC” Practice Location

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