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JAKE MOEN
NPI 1619424488
Counselor - Mental Health in Ontario, OR

Active since September 08, 2016
702 SUNSET DR, ONTARIO, OR 97914(541) 889-9167 Get Directions Write a Review

NPPES record last updated: September 8, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jake Moen NPPES

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

JAKE MOEN (NPI 1619424488) is an individual mental health provider in Ontario, Oregon and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1619424488
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJAKE MOEN
Location Address702 SUNSET DROntario, OR 97914-3121
Mailing Address702 Sunset DrOntario, OR 97914-3121 · (541) 889-9167
Phone(541) 889-9167
Sole ProprietorNo
Enumeration DateSeptember 8, 2016
✔ NPI 1619424488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
702 SUNSET DR, Ontario, OR 97914
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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.

MIRNA SUGEY RETANA PEREZ
Case Manager/Care Coordinator
702 SUNSET DR
ONTARIO, OR 97914
Malheur County (541) 889-9167
ERIN DESIREE FERNANDEZ
Counselor (Addiction (Substance Use Disorder))
702 SUNSET DR
ONTARIO, OR 97914
Malheur County (541) 889-9167
JULIE NOETHE
Counselor
702 SUNSET DR
ONTARIO, OR 97914
Malheur County (541) 823-9006
RYAN JAMES KELLY
Social Worker (Clinical)
702 SUNSET DR
ONTARIO, OR 97914
Malheur County (541) 889-9176
KARINA LIZETTE RENTERIA
Case Manager/Care Coordinator
702 SUNSET DR
ONTARIO, OR 97914
Malheur County (541) 889-9167
ARTHUR YOKOM
Counselor
702 SUNSET DR
ONTARIO, OR 97914
Malheur County (541) 889-9167
ROSE PEARCE
Substance Abuse Rehabilitation Facility
702 SUNSET DR
ONTARIO, OR 97914
Malheur County (541) 889-9167
PETER W. SMITH MS
Counselor (Professional)
702 SUNSET DR
ONTARIO, OR 97914
Malheur County (541) 889-9167

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 Moen's NPI number?

The NPI number for Jake Moen is 1619424488. It was assigned to this individual provider in the NPPES registry on September 8, 2016.

Where is Jake Moen located?

Jake Moen practices at 702 Sunset Dr, Ontario, OR 97914. The listed phone number is (541) 889-9167.

What is Jake Moen'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 Jake Moen was last updated on September 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.