Individual provider · Type 1 NPI

Cassandra Jo Moore

Mental Health Counselor · Portland, OR

NPI number 1912423252 Active

Practice location

1720 NW Lovejoy St
Portland, OR 97209-2346

Call (503) 379-0773 Map

Mailing address

10730 NE Tillamook St
Portland, OR 97220-3767

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XR4698 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1912423252

Cassandra Jo Moore's National Provider Identifier is 1912423252, issued on Aug 18, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Aug 18, 2017.