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

Jake Moxley, CADCI

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1356166037

Jake Moxley, CADCI is an Addiction (Substance Use Disorder) Counselor in Portland, Oregon. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

10230 SE Cherry Blossom Dr
Portland, OR 97216-2821
Phone: (503) 535-1150
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1356166037
Entity typeIndividual (Type 1)
GenderMale
Credentials CADCI
Sole proprietorNo
NPI enumeratedNovember 18, 2024
Last updated in NPPESNovember 18, 2024
Certification dateNovember 18, 2024

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