IAN JOSEPH MOORE


Address: 1911 Hazel Ave, Medford, OR 97501
Phone: 5417343951

IAN JOSEPH MOORE (NPI# 1861762809) 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) 1861762809
Entity Type Individual
Full Name IAN JOSEPH MOORE
Credential PEER SUPPORT SPECIAL
Practice Address 1911 Hazel Ave
Medford
OR 97501
Mailing Address 1911 Hazel St.
Medford
OR 97501
Practice Telephone 5417343951
Mailing Telephone 5417343951
Enumeration Date 2012-01-09
Last Update Date 2012-01-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist Other Service Providers
N 171M00000X Case Manager/Care Coordinator Other Service Providers

Other Providers IAN MOORE

NPI Name Taxonomy Address Enumeration
1548390446 Ian H. Moore Naturopath 11930 Rancho Bernardo Rd, #120, San Diego, CA 92128-2074 2007-03-07
1265075253 Ian J Moore Psychologist 1025 E Forest Ave, Detroit, MI 48207-1024 2019-10-22
1326518564 Ian Michael Moore Community Health Worker 1370 S West Temple, Salt Lake City, UT 84115-5218 2018-11-30
1356797054 Ian Russell Moore Registered Nurse 460 W 10th Ave, Columbus, OH 43210-1240 2016-05-11
1760721203 Ian Moore Occupational Therapist 2250 Hickory Rd, Plymouth Meeting, PA 19462-1047 2013-02-04

Office Location

Street Address 1911 HAZEL AVE
City MEDFORD
State OR
Zip Code 97501

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306912324 Benjamin Matthew Bryan Social Worker 1911 Hazel Ave, Medford, OR 97501-1630 2006-11-28
1245842277 John Trent Stoy Counselor 1911 Hazel Ave, Medford, OR 97501-1630 2020-08-20
1760020432 Angus Matthew Gray Counselor 1911 Hazel Ave, Medford, OR 97501-1630 2019-12-12
1093365413 Giovanna Peitz Counselor 1911 Hazel Ave, Medford, OR 97501-1630 2019-09-17
1417507427 Tanya Lore Weeks Counselor 1911 Hazel Ave, Medford, OR 97501-1630 2019-09-12
1710530472 Norman Treminio Castillo Iv Counselor 1911 Hazel Ave, Medford, OR 97501-1630 2019-07-22
1972085959 Lauren Tuosto Counselor 1911 Hazel Ave, Medford, OR 97501-1630 2018-09-05
1508313503 Kathleen Borden Counselor 1911 Hazel Ave, Medford, OR 97501 2016-09-07
1548511694 Options for Southern Oregon Community Based Residential Treatment Facility, Mental Illness 1911 Hazel Ave, Medford, OR 97501-1630 2012-09-28
1144596115 Jcmh - Hazel Center Case Management 1911 Hazel Ave, Medford, OR 97501-1630 2012-03-23
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366069494 Brian Snapp Counselor 1191 Hazel St, Medford, OR 97501 2020-07-06
1477174761 Corey Renfree Counselor 1191 Hazel Street, Medford, OR 97501 2020-04-28
1669012928 One of A Kind Therapy LLC Social Worker 916 West 10th St #205, Medford, OR 97501 2020-01-14
1265993620 Star Dialysis LLC Clinic/Center 50 Rossanley Dr, Medford, OR 97501 2019-03-28
1962972463 Karen Elise Roertgen Counselor 328 So. Central Ave., Suite 204, Medford, OR 97501 2018-11-28
1316458813 Rick's Medical Supply, Inc Durable Medical Equipment & Medical Supplies 562 Parsons Drive, Suite 114, Medford, OR 97501 2017-10-24
1750807111 La Clinica Del Valle Family Health Care Center Inc. Clinic/Center 821 N Riverside Ave, Medford, OR 97501 2017-08-17
1992229009 Cassandra Schultz Massage Therapist 824 East Jackson, Suite A, Medford, OR 97501 2017-07-31
1972962355 Robin Clevenger Peer Specialist 301 S Ivy St, Medford, OR 97501 2016-02-15
1154706984 Debbie Diane Orr Behavioral Analyst 1024 West 9th Street, Medford, OR 97501 2015-07-22
Find all providers in zip 97501

Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629687702 Joy Dunn Specialist 1801 Fire Ave, Medford, NY 11763-1783 2020-07-24
1316572027 Rebecca Molino Specialist 9, 3251 Ny-112 #2, Medford, NY 11763 2020-03-03
1619450525 Erica Sanniola Specialist 55 Apple Ln, Medford, NY 11763-4044 2018-09-07
1922592906 Elizabeth L Oakley Specialist 1 Sprat St, Medford, NY 11763 2018-06-21
1093267114 Rhiannon Skye Sgambati Specialist 152 Fordham Ave, Medford, NY 11763-3107 2016-10-25
1518326685 Betty Velez Specialist 21 Red Pine Rd, Medford, NY 11763 2016-02-18
1932565660 Vincent Giardina Jr. Specialist 1 Elena Ct, Medford, NJ 08055-9175 2016-01-11
1730551417 Carson Mckee Case Specialist 924 E. Jackson, Medford, OR 97504 2015-10-21
1841674066 Zachary Fisher Specialist 200 Peekskill Ave, Medford, NY 11763-3123 2015-07-17
1720472798 Stephanie Mullen Specialist 173 Buffalo Ave, Medford, NY 11763-3714 2015-03-26
Find all providers in MEDFORD

Competitor

Search similar providers

City MEDFORD
Zip Code 97501

Improve Information

Please comment or provide details below to improve the information on IAN JOSEPH MOORE.

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.

Trending Searches