Kimberly J Moore
Kimberly J Moore is a Child Mental Illness Respite Care in Salem, Oregon. Practices as a sole proprietor. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
3737 Portland Rd NESalem, OR 97301-0311
Phone: (503) 390-2600
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Specialties & licences
| Child Mental Illness Respite Care (primary) | Taxonomy 385HR2055X |
|---|
Record details
| NPI number | 1780180141 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 4, 2018 |
| Last updated in NPPES | April 4, 2018 |
| Mailing address | 3737 Portland Rd Ne, Salem, OR 97301-0311 |
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Roy Allen Moore
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Henry Jake Young
3737 Portland Rd NE, Salem, OR 97301-0311 · (503) 390-2600
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Tracy L Young
3737 Portland Rd NE, Salem, OR 97301-0311 · (503) 390-2600