MICHAEL MOORE
NPI 1194274316
Counselor - Mental Health in Medford, OR

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

Active since September 29, 2016

850 SWING LN UNIT 1, MEDFORD, OR 97501(541) 622-8592(541) 622-8593 Get Directions Write a Review

NPPES record last updated: February 27, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 27, 2020, Jan 28, 2020, Sep 29, 2016 (3 updates tracked since 2016).

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About Michael Moore NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL MOORE (NPI 1194274316) is an individual mental health provider in Medford, Oregon and active in the NPI registry since September 2016.

NPI1194274316

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameMICHAEL MOORE

Location Address850 SWING LN UNIT 1Medford, OR 97501-1790

Mailing Address3587 Heathrow WayMedford, OR 97504-4004 · (541) 858-8170

Fax(541) 622-8593

Sole ProprietorNo

Enumeration DateSeptember 29, 2016

Last NPPES UpdateFebruary 27, 20203 updates tracked since enumeration

✔ NPI 1194274316 is a valid, active identifier and passes the ISO check-digit test.

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

850 SWING LN UNIT 1, Medford, OR 97501

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)