CASSANDRA JO MOORE (NPI# 1912423252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912423252 |
| Entity Type | Individual |
| Full Name | CASSANDRA JO MOORE |
| Practice Address |
1720 Nw Lovejoy St Portland OR 97209-2346 |
| Mailing Address |
10730 Ne Tillamook St Portland OR 97220-3767 |
| Practice Telephone | 5033790773 |
| Enumeration Date | 2017-08-18 |
| Last Update Date | 2017-08-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
R4698 | OR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164081576 | Cassandra Moore | Registered Nurse | 3863 Seabeck Holly Rd Nw, Seabeck, WA 98380-9227 | 2019-06-10 |
| 1437466893 | Cassandra Jean Moore | Counselor | 4667 Macarthur Blvd Ste 320, Newport Beach, CA 92660-1867 | 2010-09-07 |
| 1457415853 | Cassandra Jo Moore | Counselor | 580 North Church Street, Swansea, SC 29160 | 2006-12-20 |
| 1902446800 | Cassandra Moore | Nurse Practitioner | 201 N College St Ste 105, Brandon, MS 39042-4439 | 2020-01-09 |
| 1275198574 | Cassandra Lynnette Moore | Occupational Therapist | 4501 Louise Underwood Way, Louisville, KY 40216-3987 | 2019-05-02 |
| 1194204941 | Cassandra Moore | Speech-Language Pathologist | 12110 Clayton Rd, Saint Louis, MO 63131-2516 | 2018-08-13 |
| 1093216152 | Cassandra Rena Moore | Counselor | 620 S Laurel St, Pine Bluff, AR 71601-4859 | 2018-02-23 |
| 1568919223 | Cassandra Moore | Counselor | 1040 Longfield Ct, Montgomery, AL 36117-8055 | 2016-09-09 |
| 1669843967 | Cassandra Rose Moore | Counselor | 617 S Green St, Suite 300, Morganton, NC 28655-3517 | 2015-10-13 |
| 1265742530 | Cassandra Moore | Case Manager/Care Coordinator | 768 Pleasant Valley Rd, Ste 304, Diamond Springs, CA 95619 | 2010-10-20 |
| Street Address |
1720 NW LOVEJOY ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97209-2346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083855126 | Julia Nunn | Massage Therapist | 1720 Nw Lovejoy St, Solace Therapeutics #107, Portland, OR 97209-2346 | 2009-03-19 |
| 1497131858 | Myra Sicilia | Marriage & Family Therapist | 1720 Nw Lovejoy St, 328, Portland, OR 97209-2346 | 2015-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508476250 | Harrington Health Clinic | Nurse Practitioner | 310 Nw Glisan Street, Portland, OR 97209 | 2020-08-07 |
| 1619599636 | Rivers Way Training Clinic | Community/Behavioral Health | 2049 Nw Hoyt, Portland, OR 97209 | 2020-05-13 |
| 1518590538 | Julie Kay Igarta | Registered Nurse | 140 Northwest 14th Avenue, Portland, OR 97209 | 2020-02-18 |
| 1407492002 | Oregon Injection Clinic | Clinic/Center | 1500 Nw Lovejoy, 106, Portland, OR 97209 | 2019-11-19 |
| 1487202883 | Ann Tesora | Massage Therapist | 1320 Northwest 20th Avenue, Portland, OR 97209 | 2019-08-28 |
| 1972160455 | Vincent Martin | Massage Therapist | 210 Sw 17th Avenue, Portland, OR 97209 | 2019-05-21 |
| 1154896546 | Jennifer Marie Dodd | Social Worker | 1722 Nw Raleigh St Spc 412, Portland, OR 97209 | 2018-10-11 |
| 1922551910 | Ashley Crowell | Physician Assistant | 949 Nw Overton St Unit 306, Portland, OR 97209 | 2016-07-26 |
| 1326408394 | Jennifer Blain | Counselor | 324 Nw Davis, Portland, OR 97209 | 2016-03-03 |
| 1275993255 | Lauren Dodson | Licensed Practical Nurse | 324 Nw Davis St, Portland, OR 97209 | 2016-03-03 |
| Find all providers in zip 97209 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748243 | Jessica M Feinsmith | Counselor | 6530 N Williams Ave, Portland, OR 97217-1924 | 2020-10-21 |
| 1720687809 | Karissa Myriah Gregory | Counselor | 14255 Se Rupert Dr, Portland, OR 97267-1211 | 2020-10-20 |
| 1528667904 | Zuzana Sakova | Counselor | 819 Se Morrison St Ste 225, Portland, OR 97214-6311 | 2020-10-18 |
| 1891302238 | Nina Landey | Counselor | 120 Se 53rd Ave, Portland, OR 97215-1204 | 2020-09-29 |
| 1902412166 | Peter H Addy LLC | Counselor | 524 N Tillamook St Ste 102b, Portland, OR 97227-1993 | 2020-09-22 |
| 1326654765 | Naomi Painter | Counselor | 1925 Ne 19th Ave Apt 8a, Portland, OR 97212-4526 | 2020-09-21 |
| 1750996104 | Sara Fuller | Counselor | 3016 Ne 70th Ave, Portland, OR 97213-5802 | 2020-09-12 |
| 1114532983 | Matthew W Cronin | Counselor | 1122 Ne 122nd Ave Ste 200, Portland, OR 97230-2081 | 2020-09-09 |
| 1447865381 | Luke Colbourn | Counselor | 2705 E Burnside St Ste 206, Portland, OR 97214-1768 | 2020-09-08 |
| 1710599774 | Abigail Kathryn Ernst | Counselor | 1020 Sw Taylor St # 100, Portland, OR 97205-2543 | 2020-08-20 |
| Find all providers in PORTLAND | ||||
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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.