DEIDRE MOORE


Address: 349 Nw 14th St, Mcminnville, OR 97128-2901
Phone: 9712418256

DEIDRE MOORE (NPI# 1548793516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548793516
Entity Type Individual
Full Name DEIDRE MOORE
Practice Address 349 Nw 14th St
Mcminnville
OR 97128-2901
Practice Telephone 9712418256
Mailing Telephone 9712418256
Enumeration Date 2017-04-06
Last Update Date 2017-04-06
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist Other Service Providers

Other Providers DEIDRE MOORE

NPI Name Taxonomy Address Enumeration
1205049152 Deidre Ann Moore Speech-Language Pathologist 1060 E 86th St, Suite 65c, Indianapolis, IN 46240-1863 2007-05-08

Office Location

Street Address 349 NW 14TH ST
City MCMINNVILLE
State OR
Zip Code 97128-2901

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518565035 Bkd Hillside Opco, LLC Skilled Nursing Facility 440 Nw Hillside Park Way, Mcminnville, OR 97128 2020-10-16
1811502636 Sean Peter Christian Cavaghan Counselor 1900 Ne Hwy 99, Suite K, Mcminnville, OR 97128 2020-09-09
1386269637 Tending The Vineyard Clinic/Center 127 Nw Highway 99w, Mcminnville, OR 97128 2020-06-12
1619441094 Kami Naber Counselor 672 Ne Evans St, Mcminnville, OR 97128 2019-01-18
1720552102 Lauren Nicole Abshire Counselor 672 Ne Evans Street, Mcminnville, OR 97128 2019-01-18
1366933376 Maria G Guerrero Specialist 325 Nw Fenton St, Mcminnville, OR 97128 2018-05-24
1235628819 Julie Luedtke Health Educator 300 Sw Hill Road South, Mcminnville, OR 97128 2018-05-09
1356838817 Jacqueline Ann Hausman Massage Therapist 119 Ne 3rd St., Mcminnville, OR 97128 2018-04-19
1366960007 Alexis R Burke Counselor 625 Ne Galloway, Mcminnville, OR 97128 2017-09-01
1871018705 Amanda Rose Bunch Counselor 418 Se Holly Way, Mcminnville, OR 97128 2017-08-11
Find all providers in zip 97128

Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy 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.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013553700 Michelle Lynn Cradit Peer Specialist 640 Ne 3rd St, Mcminnville, OR 97128-4630 2019-11-18
1518528736 Jonathan Lowell Malott Peer Specialist 216 Ne 10th St, Mcminnville, OR 97128-4826 2019-06-27
1487122552 Tami Putzier Peer Specialist 213 Ne 10th St, Mcminnville, OR 97128-4825 2018-11-07
1225575046 Andrea Marie Simkins Peer Specialist 1300 Nw Adams St Ste B, Mcminnville, OR 97128-3550 2017-01-31
1154772432 Shawna Pilcher Peer Specialist 430 Nw 21st St, Mcminnville, OR 97128-2524 2016-06-28
1114307519 Virginia Marie Rake Peer Specialist 819 Ne 3rd St, Mcminnville, OR 97128-4433 2015-06-02
1184818411 Joel Brian Friedrich Peer Specialist 625 Ne Galloway St, Mcminnville, OR 97128-3933 2007-08-29
1174120638 Zack Mccallie Peer Specialist 213 Ne 10th St, Mcminnville, OR 97128-4825 2020-10-07
1639787948 Deanna Michele Minchue Peer Specialist 213 Ne 10th St, Mcminnville, OR 97128-4825 2020-07-22
1013531300 Margo Mae Guajardo Peer Specialist 213 Ne 10th St, Mcminnville, OR 97128 2020-06-02
Find all providers in MCMINNVILLE

Competitor

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City MCMINNVILLE
Zip Code 97128

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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