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

Jacob Raymond Moore

Individual provider Mental Health Counselor · NPI 1861320038

Jacob Raymond Moore is a Mental Health Counselor in Dallas, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2026

Practice location Address checks out

182 SW Academy St
Dallas, OR 97338-1996
Phone: (503) 962-3928
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X (OR)

Record details

NPI number1861320038
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 9, 2026
Last updated in NPPESMay 9, 2026
Certification dateMay 9, 2026
Mailing address30288 Walnut Dr Sw, Albany, OR 97321-9454

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