Suzanne Michelle Moore - Portland, OR

Suzanne Michelle Moore

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Portland, Oregon

NPI 1467608083

Suzanne Michelle Moore is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Portland, OR. Suzanne Michelle Moore practices in Portland, OR. The NPI Number for Suzanne Michelle Moore is 1467608083 and holds a License No. SM1219 (Oregon).

The current practice location address for Suzanne Michelle Moore is 722 Ne 162Nd Ave, Portland, OR and can be reached out via phone at 503-515-5566 and via fax at 503-261-0988. You can also correspond with Suzanne Michelle Moore through the mailing address at 830 NE SOUTH SHORE RD, PORTLAND, OR - 97211-1132 (mailing address contact number: 503-302-9258).

Location: 722 Ne 162Nd Ave, Portland, OR, 97211-1132

NPI Number

1467608083

Provider Name

Suzanne Michelle Moore

Credential

Provider Entity Type

Individual

Gender

Female

Address

722 Ne 162Nd Ave, Portland, OR, 97211-1132

Phone Number

503-515-5566

Fax Number

503-261-0988

Provider Enumeration Date

08/14/2008

Last Update Date

03/09/2024

Address

722 Ne 162Nd Ave

City

Portland

State

Oregon

Zip

97230-5760

Phone Number

503-515-5566

Fax Number

503-261-0988

Address

830 Ne South Shore Rd

City

Portland

State

Oregon

Zip

97211-1132

Phone Number

503-302-9258

Fax Number

Type

Behavioral Health & Social Service Providers

Classification

Social Worker

Speciality

Taxonomy

104100000X

License No.

SM1219 (Oregon)

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Type

Residential Treatment Facilities

Classification

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Speciality

Taxonomy

320900000X

License No.

SM1219 (Oregon)

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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