Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ian Joseph Moore, PEERSUPPORTSPECIAL

Individual provider Specialist · NPI 1861762809

Ian Joseph Moore, PEERSUPPORTSPECIAL is a Specialist in Medford, Oregon. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
2
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Practice location Address checks out

1911 Hazel Ave
Medford, OR 97501
Phone: (541) 734-3951
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1861762809
Entity typeIndividual (Type 1)
GenderMale
Credentials PEERSUPPORTSPECIAL
Sole proprietorNo
NPI enumeratedJanuary 9, 2012
Last updated in NPPESJanuary 9, 2012

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