Jeremy Moore - Portland, OR

Jeremy Moore

Peer Specialist in Portland, Oregon

NPI 1912668856

Jeremy Moore is a Peer Specialist based in Portland, OR. Jeremy Moore practices in Portland, OR. The NPI Number for Jeremy Moore is 1912668856 and holds a License No. (Oregon).

The current practice location address for Jeremy Moore is 1030 Ne Couch St, Portland, OR and can be reached out via phone at 503-239-8400 and via fax at 503-239-8406.

Location: 1030 Ne Couch St, Portland, OR, 97214-1328

NPI Number

1912668856

Provider Name

Jeremy Moore

Credential

Provider Entity Type

Individual

Gender

Male

Address

1030 Ne Couch St, Portland, OR, 97214-1328

Phone Number

503-239-8400

Fax Number

503-239-8406

Provider Enumeration Date

01/03/2022

Last Update Date

03/10/2024

Address

1030 Ne Couch St

City

Portland

State

Oregon

Zip

97232-3067

Phone Number

503-239-8400

Fax Number

503-239-8406

Address

1030 Ne Couch St

City

Portland

State

Oregon

Zip

97232-3067

Phone Number

503-239-8400

Fax Number

503-239-8406

Type

Other Service Providers

Classification

Peer Specialist

Speciality

Taxonomy

175T00000X

License No.

()

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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