Individual provider · Type 1 NPI
Brent Moore, LPC
Mental Health Counselor · Portland, OR
NPI number
1699131763
Active
Practice location
515 NW Saltzman Rd # 645
Portland, OR 97229-6098
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1699131763
Brent Moore, LPC's National Provider Identifier is 1699131763, issued on Jan 5, 2016. 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 7, 2021.