MADELINE ROSE MOON CADC-R NPI 1326811183

NPI Information

  • NPI: 1326811183
  • Provider Name: MADELINE ROSE MOON, CADC-R
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 324 NW DAVIS ST
    PORTLAND, OR
    ZIP 97209
  • Phone: (503) 226-2203

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NPI Details

Madeline Rose Moon, CADC-R is an addiction (substance use disorder) counselor in Portland, OR. Madeline Rose Moon, CADC-R NPI is 1326811183. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

324 NW DAVIS ST
PORTLAND, OR
ZIP 97209-925
Phone: (503) 226-2203

The enumeration date for this NPI number is 11/3/2023 and was last updated on 11/3/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)T-23-3214OREGONYes

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: 3/30/2025

NPI Synchronization or Removal

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