Individual provider · Type 1 NPI

Jeffrey M. Moore, LPC, CADC I

Mental Health Counselor · Portland, OR

NPI number 1003981085 Active

Practice location

33 NW Broadway
Portland, OR 97209-3580

Fax (503) 501-5679

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XC2793 (OR)
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Professional Counselor 101YP2500XC2793 (OR)

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About NPI 1003981085

Jeffrey M. Moore, LPC, CADC I's National Provider Identifier is 1003981085, issued on Nov 22, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Feb 1, 2013.