ARCHIE LEE MOORE
NPI 1366588618
Case Manager/Care Coordinator in Portland, OR

Q: What is Archie Moore's NPI number?

The NPI number for Archie Moore is 1366588618. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Q: What is Archie Moore's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Archie Moore was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since January 30, 2007

2270 NW OVERTON ST, PORTLAND, OR 97210(503) 241-6051(503) 222-1357 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Archie Lee Moore NPPES

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

ARCHIE LEE MOORE (NPI 1366588618) is an individual case manager/care coordinator provider in Portland, Oregon and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1366588618

Entity TypeIndividualMale

Primary Taxonomy171M00000X

Provider Legal NameARCHIE LEE MOORE

Location Address2270 NW OVERTON STPortland, OR 97210-2927

Mailing Address10594 Se Cherry Blossom DrPortland, OR 97216-2845 · (503) 241-6051

Phone(503) 241-6051

Fax(503) 222-1357

Sole ProprietorYes

Enumeration DateJanuary 30, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1366588618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

2270 NW OVERTON ST, Portland, OR 97210

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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.

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Case Manager/Care Coordinator