Individual provider · Type 1 NPI

Makeda Yasmeen Moore

Mental Health Counselor · Portland, OR

NPI number 1649903048 Active

Practice location

17640 NE Halsey St
Portland, OR 97230-6733

Fax (503) 489-5638

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1649903048

Makeda Yasmeen Moore's National Provider Identifier is 1649903048, issued on Jul 5, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Jul 5, 2022.