RON MOORE CADC
NPI 1073696654
Counselor - Addiction (Substance Use Disorder) in Ontario, OR
Active since October 24, 2006
About Ron Moore Cadc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RON MOORE CADC (NPI 1073696654) is an individual addiction (substance use disorder) provider in Ontario, Oregon and active in the NPI registry since October 2006.
NPPES Registry Identity
NPI1073696654
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameRON MOORECredential: CADC
Location Address702 SUNSET DROntario, OR 97914-3121
Mailing Address702 Sunset DrOntario, OR 97914-3121 · (541) 889-9167 · Fax (541) 889-7873
Phone(541) 889-9167
Fax(541) 889-7873
Sole ProprietorNo
Enumeration DateOctober 24, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1073696654 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
702 SUNSET DR, Ontario, OR 97914
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073696654, enumerated as an "individual" on October 24, 2006.
The provider is located at 702 SUNSET DR ONTARIO, OR 97914 and the phone number is (541) 889-9167.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).