Individual provider · Type 1 NPI

Jeremy Moore, AAOT

Counselor · Portland, OR

NPI number 1760633622 Active

Practice location

3550 SE Woodward St
Portland, OR 97202-1552

Call (503) 517-8663 Map

Fax (503) 943-4994

Mailing address

740 NE 53rd Ave Apt 33
Portland, OR 97213-3164

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1760633622

Jeremy Moore, AAOT's National Provider Identifier is 1760633622, issued on Oct 8, 2008. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Portland, OR. The record was last updated on Oct 8, 2008.