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

Mrs. Stacey L S Moore, MOTR/L

Individual provider Occupational Therapist · NPI 1558426593

Mrs. Stacey L S Moore, MOTR/L is an Occupational Therapist in Private Practice in Gresham, Oregon. Qualified in 2004, 22 years ago. Practices with Rehab Specialists Outpatient LLC, a 46-clinician group and accepts Medicare assignment. Licensed in Oregon and Pennsylvania.

Years since qualifying
22
Licensed in
OR, PA
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

2895 SE Powell Valley Rd
Gresham, OR 97080-1492
Phone: (971) 571-5319
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 1073412 (OR)
Occupational Therapist Taxonomy 225X00000X · Licence OC-009631 (PA)

Record details

NPI number1558426593
Entity typeIndividual (Type 1)
GenderFemale
Credentials MOTR/L
Sole proprietorYes
NPI enumeratedDecember 27, 2006
Last updated in NPPESSeptember 19, 2023
Certification dateSeptember 18, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Rehab Specialists Outpatient Llc — 46 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Gresham