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General NPI Number Information
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NPI Number | 1255217824
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Entity Type | Organization
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Legal Business Name | TIMOTHY M MOORE LLC
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Dates
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Enumeration Date | 08/11/2025
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 704 W HOOD AVE
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City | SISTERS
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State | OR
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Zip | 97759-1529
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Country | US
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Telephone | 541-280-5210
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Fax | 541-280-5210
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Provider Business Mailing Address
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Address Line | 704 W HOOD AVE
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City | SISTERS
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State | OR
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Zip | 97759-1529
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Country | US
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Telephone | 541-280-5210
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Fax | 541-280-5210
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Authorized Official
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Title or Position | CLINICAL DIRECTOR/OWNER
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Name | MR. TIMOTHY M MOORE
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Credential | LPC
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Telephone | 541-280-5210
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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