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JAKE MOXLEY CADC I
NPI 1356166037
Counselor - Addiction (Substance Use Disorder) in Portland, OR

Active since November 18, 2024
10230 SE CHERRY BLOSSOM DR, PORTLAND, OR 97216(503) 535-1150 Get Directions Write a Review

NPPES record last updated: November 18, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jake Moxley Cadc I NPPES

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

JAKE MOXLEY CADC I (NPI 1356166037) is an individual addiction (substance use disorder) provider in Portland, Oregon and active in the NPI registry since November 2024.

NPPES Registry Identity

NPI1356166037
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJAKE MOXLEYCredential: CADC I
Location Address10230 SE CHERRY BLOSSOM DRPortland, OR 97216-2821
Mailing Address10230 Se Cherry Blossom DrPortland, OR 97216-2821
Phone(503) 535-1150
Sole ProprietorNo
Enumeration DateNovember 18, 2024
NPPES CertifiedNovember 18, 2024
✔ NPI 1356166037 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
10230 SE CHERRY BLOSSOM DR, Portland, OR 97216
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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.

FORA HEALTH INC.
Substance Abuse Rehabilitation Facility
10230 SE CHERRY BLOSSOM DR
PORTLAND, OR 97216
Multnomah County (503) 535-1150
JENNA MARI SCOTT
Counselor (Professional)
10230 SE CHERRY BLOSSOM DR
PORTLAND, OR 97216
Multnomah County (503) 535-1151
KAYLA MITCHUM
Registered Nurse
10230 SE CHERRY BLOSSOM DR
PORTLAND, OR 97216
Multnomah County (503) 535-1150
FORA HEALTH INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
10230 SE CHERRY BLOSSOM DR
PORTLAND, OR 97216
Multnomah County (503) 535-1150
DANIELLE DEAL
Counselor (Addiction (Substance Use Disorder))
10230 SE CHERRY BLOSSOM DR
PORTLAND, OR 97216
Multnomah County (503) 535-1150
ISABELLA EILEEN GILLESPIE CRM
Peer Specialist
10230 SE CHERRY BLOSSOM DR
PORTLAND, OR 97216
Multnomah County (503) 535-1151
NINFA HALAY-AY LPN
Licensed Practical Nurse
10230 SE CHERRY BLOSSOM DR
PORTLAND, OR 97216
Multnomah County (503) 535-1175
CHRISTOPHER FUNK
Counselor (Addiction (Substance Use Disorder))
10230 SE CHERRY BLOSSOM DR
PORTLAND, OR 97216
Multnomah County (503) 535-1150

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 Jake Moxley's NPI number?

The NPI number for Jake Moxley is 1356166037. It was assigned to this individual provider in the NPPES registry on November 18, 2024.

Where is Jake Moxley located?

Jake Moxley practices at 10230 SE Cherry Blossom Dr, Portland, OR 97216. The listed phone number is (503) 535-1150.

What is Jake Moxley's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jake Moxley was last updated on November 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.