Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Mary Moffit, PHD

Individual provider Psychologist · NPI 1164503462

Dr. Mary Moffit, PHD is a Psychologist in Lake Oswego, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

333 S State St # V155
Lake Oswego, OR 97034-3932
Phone: (503) 330-7880
Fax: (971) 468-1696
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 1205 (OR)

Record details

NPI number1164503462
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedOctober 17, 2006
Last updated in NPPESMarch 27, 2025
Certification dateMarch 27, 2025
Mailing address333 S State St # V155, Lake Oswego, OR 97034-3932

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