Individual provider · Type 1 NPI

Jillian Marguerite Moore, CRM

Peer Specialist · Pendleton, OR

NPI number 1992680177 Active

Practice location

200 SE Hailey Ave Ste 204
Pendleton, OR 97801-3072

Call (541) 663-4104 Map

Fax (541) 663-4142

Mailing address

1275 W Madrona Ave Apt B
Hermiston, OR 97838-1445

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X25-CRM-4289 (OR)
Addiction (Substance Use Disorder) Counselor 101YA0400XT-25-5204 (OR)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

18 other providers at this address

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About NPI 1992680177

Jillian Marguerite Moore, CRM's National Provider Identifier is 1992680177, issued on Aug 7, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Pendleton, OR. The record was last updated on Jan 22, 2026.