ROY ALLEN MOORE (NPI# 1841796208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841796208 |
| Entity Type | Individual |
| Full Name | ROY ALLEN MOORE |
| Practice Address |
3737 Portland Rd Ne Salem OR 97301-0311 |
| Practice Telephone | 5033902600 |
| Mailing Telephone | 5033902600 |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2018-04-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385HR2055X |
Respite Care Specialization: Respite Care, Mental Illness, Child |
Respite Care Facility |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174678122 | Roy A Moore | Chiropractor | 936 Roosevelt Trl, Windham, ME 04062-5652 | 2007-01-23 |
| 1821647710 | Roy F Moore Jr. | Marriage & Family Therapist | 1100 Walnut St, Owensboro, KY 42301-2956 | 2019-09-04 |
| 1295066256 | Roy Alan Moore Jr. | Chiropractor | 936 Roosevelt Trl, Windham, ME 04062-5652 | 2010-01-14 |
| Street Address |
3737 PORTLAND RD NE |
| City | SALEM |
| State | OR |
| Zip Code | 97301-0311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689890493 | Marcus Eric Berglund | Marriage & Family Therapist | 3737 Portland Rd Ne, Salem, OR 97303-2511 | 2007-04-18 |
| 1841824240 | Paola Ramirez Del Valle | Community Health Worker | 3737 Portland Rd Ne, Salem, OR 97301-0311 | 2020-02-25 |
| 1255962684 | Loren Calkins | Marriage & Family Therapist | 3737 Portland Rd Ne, Salem, OR 97301-0311 | 2020-02-04 |
| 1659939791 | Laurel Becker | Counselor | 3737 Portland Rd Ne, Salem, OR 97301-0311 | 2019-06-04 |
| 1386202067 | Patricia Duncan | Counselor | 3737 Portland Rd Ne, Salem, OR 97301-0311 | 2019-05-29 |
| 1992264311 | Valerie Edwards | Case Manager/Care Coordinator | 3737 Portland Rd Ne, Salem, OR 97301-0311 | 2019-03-15 |
| 1487146239 | Hector Virgen-marquez | Case Manager/Care Coordinator | 3737 Portland Rd Ne, Salem, OR 97301-0311 | 2018-06-06 |
| 1669964680 | Mark Beach | Behavior Technician | 3737 Portland Rd Ne, Salem, OR 97301-0311 | 2018-06-05 |
| 1780180141 | Kimberly J Moore | Respite Care | 3737 Portland Rd Ne, Salem, OR 97301-0311 | 2018-04-04 |
| 1073019436 | Tracy L Young | Respite Care | 3737 Portland Rd Ne, Salem, OR 97301-0311 | 2018-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450970 | Jehan Seals | Behavior Technician | 3400 State St Set G750, Salem, OR 97301 | 2020-05-29 |
| 1093335929 | Sterling Recovery, LLC | Dietitian, Registered | 3758 Amber St Ne #105, Salem, OR 97301 | 2020-04-21 |
| 1760018360 | Riverfront Mental Health LLC | Counselor | 338 State St, Suite 985, Salem, OR 97301 | 2020-03-16 |
| 1871126888 | Amity Beth Haddon Maxwell | Social Worker | Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 | 2020-02-18 |
| 1861042632 | Brenda Grizelda Vargas | Behavioral Analyst | 3400 State Ste Ste G750, Salem, OR 97301 | 2019-09-13 |
| 1588213177 | Natalie Stone | Registered Nurse | 2045 Siverton Rd Ne, Salem, OR 97301 | 2019-09-06 |
| 1588228720 | Jeramy Disenso | Counselor | 270 Cottage St Ne, Salem, OR 97301 | 2019-04-23 |
| 1801353297 | Gwendolyn Kersey | Registered Nurse | 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 | 2019-02-21 |
| 1841769114 | Spine Clinic PC | Massage Therapist | 1281 Lancaster Drive Ne, Salem, OR 97301 | 2018-11-16 |
| 1013482132 | Kellie Linn Hansen | Physical Therapist | 4049 Market St Se, Salem, OR 97301 | 2018-10-04 |
| Find all providers in zip 97301 | ||||
| Taxonomy Code | 385HR2055X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Specialization | Respite Care, Mental Illness, Child |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780180141 | Kimberly J Moore | Respite Care | 3737 Portland Rd Ne, Salem, OR 97301-0311 | 2018-04-04 |
| 1073019436 | Tracy L Young | Respite Care | 3737 Portland Rd Ne, Salem, OR 97301-0311 | 2018-04-04 |
| 1811493273 | Henry Jake Young | Respite Care | 3737 Portland Rd Ne, Salem, OR 97301-0311 | 2018-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609991603 | Dungarvin Oregon, LLC | Respite Care | 7320 Sw Hunziker Rd Ste 101, Portland, OR 97223-2300 | 2007-03-20 |
| 1417991258 | Pendleton Acadmies | Respite Care | 622 Airport Rd, Pendleton, OR 97801-4598 | 2006-06-15 |
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| 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.