Individual provider · Type 1 NPI

Jacob Raymond Moore

Mental Health Counselor · Dallas, OR

NPI number 1861320038 Active

Practice location

182 SW Academy St
Dallas, OR 97338-1996

Call (503) 962-3928 Map

Mailing address

30288 Walnut Dr SW
Albany, OR 97321-9454

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1861320038

Jacob Raymond Moore's National Provider Identifier is 1861320038, issued on May 9, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dallas, OR. The record was last updated on May 9, 2026.