Individual provider · Type 1 NPI

Ian Joseph Moore, PEER SUPPORT SPECIAL

Specialist · Medford, OR

NPI number 1861762809 Active

Practice location

1911 Hazel Ave
Medford, OR 97501

Call (541) 734-3951 Map

Mailing address

1911 Hazel St.
Medford, OR 97501

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed
Case Manager/Care Coordinator 171M00000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1861762809

Ian Joseph Moore, PEER SUPPORT SPECIAL's National Provider Identifier is 1861762809, issued on Jan 9, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Medford, OR. The record was last updated on Jan 9, 2012.