Jason Lee Moore
Jason Lee Moore is an Addiction (Substance Use Disorder) Counselor in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.
- Licensed in
- OR
- In the registry since
- 2021
Practice location Address checks out
1030 NE Couch StPortland, OR 97232-3067
Phone: (503) 239-8400
Fax: (503) 239-8406
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X (OR) |
|---|
Record details
| NPI number | 1750958245 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 4, 2021 |
| Last updated in NPPES | June 4, 2021 |
| Certification date | June 4, 2021 |
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