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

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: August 09, 2026.

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

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.

NPPES Registry Identity

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
Phone(541) 622-8592
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.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
850 SWING LN UNIT 1, Medford, OR 97501
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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.

JOSHUA CRIDER
Counselor (Mental Health)
850 SWING LN UNIT 1
MEDFORD, OR 97501
Jackson County (541) 622-8592
TINA JOYCE KESSEL
Counselor (Mental Health)
850 SWING LN UNIT 1
MEDFORD, OR 97501
Jackson County (541) 622-8592
RIKKI SNOWDEN
Counselor (Mental Health)
850 SWING LN UNIT 1
MEDFORD, OR 97501
Jackson County (541) 622-8592
SOPHIA ISABELLE YORK
Counselor (Mental Health)
850 SWING LN UNIT 1
MEDFORD, OR 97501
Jackson County (541) 622-8592
KATHERINE MERCEDES GARCIA
Counselor (Mental Health)
850 SWING LN UNIT 1
MEDFORD, OR 97501
Jackson County (541) 622-8592
DONALD BAGWELL
Counselor (Mental Health)
850 SWING LN UNIT 1
MEDFORD, OR 97501
Jackson County (541) 622-8593
STEVEN LEE JACKSON-VILLEGAS
Counselor (Mental Health)
850 SWING LN UNIT 1
MEDFORD, OR 97501
Jackson County (541) 622-8592
ARLENE MARIE OETTERER
Counselor (Mental Health)
850 SWING LN UNIT 1
MEDFORD, OR 97501
Jackson County (541) 622-8592

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Moore's NPI number?

The NPI number for Michael Moore is 1194274316. It was assigned to this individual provider in the NPPES registry on September 29, 2016.

Where is Michael Moore located?

Michael Moore practices at 850 Swing Ln Unit 1, Medford, OR 97501. The listed phone number is (541) 622-8592.

What is Michael Moore's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Michael Moore was last updated on February 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.