person
Kimberly J Moore
Child Mental Illness Respite Care in Salem, Oregon
NPI 1780180141

Kimberly J Moore is a Child Mental Illness Respite Care based in Salem, OR and is specialized in Respite Care, Mental Illness, Child. Kimberly J Moore practices in Salem, OR. The NPI Number for Kimberly J Moore is 1780180141 and holds a License No. (Oregon).

The current practice location address for Kimberly J Moore is 3737 Portland Rd Ne, Salem, OR and can be reached out via phone at 503-390-2600.

Location: 3737 Portland Rd Ne, Salem, OR, 97301-0311
person
Provider Profile Details
NPI Number
1780180141
Provider Name
Kimberly J Moore
Credential
Provider Entity Type
Individual
Gender
Female
Address
3737 Portland Rd Ne, Salem, OR, 97301-0311
Phone Number
503-390-2600
Fax Number
Provider Enumeration Date
04/04/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3737 Portland Rd Ne
City
State
Zip
97301-0311
Phone Number
503-390-2600
Fax Number
person
Provider Business Mailing Address Details
Address
3737 Portland Rd Ne
City
State
Zip
97301-0311
Phone Number
503-390-2600
Fax Number
person
Provider's Taxonomy Details 1
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Mental Illness, Child
Taxonomy
License No.
()
Definition
A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers.
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