Individual provider · Type 1 NPI

Caitlin J. Moon

Peer Specialist · Brookings, OR

NPI number 1245038694 Active

Practice location

615 5th St # 300
Brookings, OR 97415-9199

Mailing address

PO Box 1121
Roseburg, OR 97470-0254

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1245038694

Caitlin J. Moon's National Provider Identifier is 1245038694, issued on Mar 3, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Brookings, OR. The record was last updated on Oct 6, 2026.