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

Jeremy Moore, AAOT

Individual provider Counselor · NPI 1760633622

Jeremy Moore, AAOT is a Counselor in Portland, Oregon. Practices as a sole proprietor. Registered with an NPI since 2008.

In the registry since
2008

Practice location Address checks out

3550 SE Woodward St
Portland, OR 97202-1552
Phone: (503) 517-8663
Fax: (503) 943-4994
Show map & directions

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

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1760633622
Entity typeIndividual (Type 1)
GenderMale
Credentials AAOT
Sole proprietorYes
NPI enumeratedOctober 8, 2008
Last updated in NPPESOctober 8, 2008

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