Individual provider · Type 1 NPI

Kimberly J. Moore

Child Mental Illness Respite Care · Salem, OR

NPI number 1780180141 Active

Practice location

3737 Portland Rd NE
Salem, OR 97301-0311

Specialties and licenses

TaxonomyCodeLicense
Child Mental Illness Respite Care Primary 385HR2055XNone listed

Child Mental Illness Respite Care: A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers.

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About NPI 1780180141

Kimberly J. Moore's National Provider Identifier is 1780180141, issued on Apr 4, 2018. The primary taxonomy on file is Child Mental Illness Respite Care (385HR2055X), and the practice location is in Salem, OR. The record was last updated on Apr 4, 2018.