Jeremy Moore
Jeremy Moore is a Peer Specialist in Portland, Oregon. Registered with an NPI since 2022.
- In the registry since
- 2022
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
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1912668856 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 3, 2022 |
| Last updated in NPPES | April 15, 2022 |
| Certification date | April 15, 2022 |
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