JEFFREY M MOORE (NPI# 1003981085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003981085 |
| Entity Type | Individual |
| Full Name | JEFFREY M MOORE |
| Credential | LPC, CADC I |
| Practice Address |
33 Nw Broadway Portland OR 97209-3580 |
| Practice Telephone | 5032287134 |
| Practice Fax Number | 5035015679 |
| Mailing Telephone | 5032287134 |
| Mailing Fax Number | 5035015679 |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2013-02-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
C2793 | OR | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
C2793 | OR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326399478 | Jeffrey David Moore | Physical Therapist | 700 Us Hwy 24 S, Buena Vista, CO 81211 | 2012-09-28 |
| 1023305109 | Jeffrey George Moore | Anesthesiology | 1433 Caring Ct, Maitland, FL 32751-4252 | 2011-07-08 |
| 1013233345 | Jeffrey Scott Moore | Social Worker | 430 E 450 S, Clearfield, UT 84015-1736 | 2010-04-12 |
| 1295991529 | Jeffrey W Moore | Dentist | 4011 E Renner Rd Ste 107, Richardson, TX 75082-2917 | 2008-08-06 |
| 1447318803 | Jeffrey Morgan Moore | Dentist | 11765 Mcminnville Hwy, Walling, TN 38587 | 2006-12-05 |
| 1821196478 | Jeffrey K Moore | Orthopaedic Surgery | 4218-m Arendell St, Morehead City, NC 28557-2805 | 2006-09-20 |
| 1538273909 | Jeffrey Michael Moore | Chiropractor | 333 Commerce Dr Ste 175, Crystal Lake, IL 60014-3596 | 2006-08-19 |
| 1720013089 | Jeffrey Karl Moore Sr. | Medical Genetics, Ph.D. Medical Genetics | 514 Fisk St, Nashville, TN 37203-2846 | 2006-07-12 |
| 1447275557 | Jeffrey Moore | Optometrist | 4455 Cleveland Ave Ste A, Fort Myers, FL 33901-9057 | 2006-07-12 |
| 1922036433 | Jeffrey 'kent' Moore | Chiropractor | 2925 W Walnut St, Rogers, AR 72756-0338 | 2006-06-30 |
| Street Address |
33 NW BROADWAY |
| City | PORTLAND |
| State | OR |
| Zip Code | 97209-3580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811597685 | Victoria Leigh Burgess | Counselor | 33 Nw Broadway, Portland, OR 97209-3580 | 2020-10-29 |
| 1750995056 | Sarina Kate Herrick Benight | Counselor | 33 Nw Broadway, Portland, OR 97209-3580 | 2020-09-03 |
| 1386254043 | Kristen Marie Case | Counselor | 33 Nw Broadway, Portland, OR 97209-3580 | 2020-08-06 |
| 1558999664 | Jack Ezra Keegan | Registered Nurse | 33 Nw Broadway, Portland, OR 97209-3580 | 2020-04-01 |
| 1740817402 | Malinda Christine Brown | Counselor | 33 Nw Broadway, Portland, OR 97209-3580 | 2020-03-24 |
| 1609419357 | Heather Ann Ackles | Counselor | 33 Nw Broadway, Portland, OR 97209-3580 | 2019-10-25 |
| 1225687932 | Mahnaz Alidoosti Dadras | Registered Nurse | 33 Nw Broadway, Portland, OR 97209-3580 | 2019-09-05 |
| 1417505470 | Roy Mcgarvey Wheeler | Counselor | 33 Nw Broadway, Portland, OR 97209-3580 | 2019-09-03 |
| 1982250437 | Lisa Marie Newport | Peer Specialist | 33 Nw Broadway, Portland, OR 97209-3580 | 2019-08-12 |
| 1104472786 | Sarah Spears | Registered Nurse | 33 Nw Broadway, Portland, OR 97209-3580 | 2019-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508476250 | Harrington Health Clinic | Nurse Practitioner | 310 Nw Glisan Street, Portland, OR 97209 | 2020-08-07 |
| 1619599636 | Rivers Way Training Clinic | Community/Behavioral Health | 2049 Nw Hoyt, Portland, OR 97209 | 2020-05-13 |
| 1518590538 | Julie Kay Igarta | Registered Nurse | 140 Northwest 14th Avenue, Portland, OR 97209 | 2020-02-18 |
| 1407492002 | Oregon Injection Clinic | Clinic/Center | 1500 Nw Lovejoy, 106, Portland, OR 97209 | 2019-11-19 |
| 1487202883 | Ann Tesora | Massage Therapist | 1320 Northwest 20th Avenue, Portland, OR 97209 | 2019-08-28 |
| 1972160455 | Vincent Martin | Massage Therapist | 210 Sw 17th Avenue, Portland, OR 97209 | 2019-05-21 |
| 1154896546 | Jennifer Marie Dodd | Social Worker | 1722 Nw Raleigh St Spc 412, Portland, OR 97209 | 2018-10-11 |
| 1922551910 | Ashley Crowell | Physician Assistant | 949 Nw Overton St Unit 306, Portland, OR 97209 | 2016-07-26 |
| 1326408394 | Jennifer Blain | Counselor | 324 Nw Davis, Portland, OR 97209 | 2016-03-03 |
| 1275993255 | Lauren Dodson | Licensed Practical Nurse | 324 Nw Davis St, Portland, OR 97209 | 2016-03-03 |
| Find all providers in zip 97209 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748243 | Jessica M Feinsmith | Counselor | 6530 N Williams Ave, Portland, OR 97217-1924 | 2020-10-21 |
| 1720687809 | Karissa Myriah Gregory | Counselor | 14255 Se Rupert Dr, Portland, OR 97267-1211 | 2020-10-20 |
| 1528667904 | Zuzana Sakova | Counselor | 819 Se Morrison St Ste 225, Portland, OR 97214-6311 | 2020-10-18 |
| 1891302238 | Nina Landey | Counselor | 120 Se 53rd Ave, Portland, OR 97215-1204 | 2020-09-29 |
| 1902412166 | Peter H Addy LLC | Counselor | 524 N Tillamook St Ste 102b, Portland, OR 97227-1993 | 2020-09-22 |
| 1326654765 | Naomi Painter | Counselor | 1925 Ne 19th Ave Apt 8a, Portland, OR 97212-4526 | 2020-09-21 |
| 1750996104 | Sara Fuller | Counselor | 3016 Ne 70th Ave, Portland, OR 97213-5802 | 2020-09-12 |
| 1114532983 | Matthew W Cronin | Counselor | 1122 Ne 122nd Ave Ste 200, Portland, OR 97230-2081 | 2020-09-09 |
| 1447865381 | Luke Colbourn | Counselor | 2705 E Burnside St Ste 206, Portland, OR 97214-1768 | 2020-09-08 |
| 1710599774 | Abigail Kathryn Ernst | Counselor | 1020 Sw Taylor St # 100, Portland, OR 97205-2543 | 2020-08-20 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.