Individual provider · Type 1 NPI

Jessica Moore

Professional Counselor · Bend, OR

NPI number 1780156729 Active

Practice location

296 SW Columbia St
Bend, OR 97702-1020

Call (541) 550-7940 Map

Mailing address

19789 Dry Canyon Ave
Bend, OR 97702-3034

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

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About NPI 1780156729

Jessica Moore's National Provider Identifier is 1780156729, issued on Dec 31, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bend, OR. The record was last updated on Jul 10, 2026.