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CARL MOORE
NPI 1205107877
Counselor - Mental Health in Medford, OR

Active since January 13, 2012
503 AIRPORT RD STE 101, MEDFORD, OR 97504(541) 200-2900(541) 200-2948 Get Directions Write a Review

NPPES record last updated: August 21, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 21, 2023, Apr 4, 2023, Nov 3, 2021 and 1 more (4 updates tracked since 2019).

About Carl Moore NPPES

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

CARL MOORE (NPI 1205107877) is an individual mental health provider in Medford, Oregon, licensed in (PROFESSIONALLICENSE) and active in the NPI registry since January 2012.

NPPES Registry Identity

NPI1205107877
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameCARL MOORE
Location Address503 AIRPORT RD STE 101Medford, OR 97504-4159
Mailing Address3587 Heathrow WayMedford, OR 97504-4004 · (541) 858-8170
Phone(541) 200-2900
Fax(541) 200-2948
Sole ProprietorNo
Enumeration DateJanuary 13, 2012
Last NPPES UpdateAugust 21, 20234 updates tracked since enumeration
✔ NPI 1205107877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed · PROFESSIONALLICENSE
503 AIRPORT RD STE 101, Medford, OR 97504
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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.

RACHEL DAWN HOWARD
Counselor (Mental Health)
503 AIRPORT RD STE 101
MEDFORD, OR 97504
Jackson County (541) 200-2900
RANDI M GRUESSING LPN
Licensed Practical Nurse
503 AIRPORT RD STE 101
MEDFORD, OR 97504
Jackson County (541) 200-2900
KARI JOHNSTON
Counselor (Mental Health)
503 AIRPORT RD STE 101
MEDFORD, OR 97504
Jackson County (541) 200-2900
CHLOE GRIFFITH
Nurse Practitioner (Psychiatric/Mental Health)
503 AIRPORT RD STE 101
MEDFORD, OR 97504
Jackson County (541) 200-2900
THOMAS ROBERT LOWSTUTER
Counselor (Mental Health)
503 AIRPORT RD STE 101
MEDFORD, OR 97504
Jackson County (541) 200-2900
AMANDA L HOEFFLIGER HUCKINS
Counselor (Mental Health)
503 AIRPORT RD STE 101
MEDFORD, OR 97504
Jackson County (541) 200-2900
LEO HOERSTING
Counselor (Mental Health)
503 AIRPORT RD STE 101
MEDFORD, OR 97504
Jackson County (541) 200-2900
MADONNA WERTHMAN
Counselor (Mental Health)
503 AIRPORT RD STE 101
MEDFORD, OR 97504
Jackson County (541) 200-2900

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 Carl Moore's NPI number?

The NPI number for Carl Moore is 1205107877. It was assigned to this individual provider in the NPPES registry on January 13, 2012.

Where is Carl Moore located?

Carl Moore practices at 503 Airport Rd Ste 101, Medford, OR 97504. The listed phone number is (541) 200-2900.

What is Carl 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 Carl Moore was last updated on August 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.