Provider Type Icon

TIMOTHY MOORE NPI 1821667304


NPI Information

NPI: 1821667304
Provider Name: TIMOTHY MOORE
Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
384 SW UPPER TERRACE DR STE 212
BEND, OR
ZIP 97702
Phone: (541) 306-0474
Get Directions

TIMOTHY MOORE is a counselor in Bend, OR. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. TIMOTHY MOORE NPI is 1821667304. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

384 SW UPPER TERRACE DR STE 212
BEND, OR
ZIP 97702-514
Phone: (541) 306-0474

The provider's authorized official is Timothy Moore .
The authorized official title is Owner and has the following contact phone number (541) 306-0474.

The enumeration date for this NPI number is 6/21/2021 and was last updated on 6/21/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.