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MAKEDA YASMEEN MOORE
NPI 1649903048
Counselor - Mental Health in Portland, OR

Active since July 05, 2022
17640 NE HALSEY ST, PORTLAND, OR 97230(503) 489-5045(503) 489-5638 Get Directions Write a Review

NPPES record last updated: July 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Makeda Yasmeen Moore NPPES

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

MAKEDA YASMEEN MOORE (NPI 1649903048) is an individual mental health provider in Portland, Oregon and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1649903048
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMAKEDA YASMEEN MOORE
Location Address17640 NE HALSEY STPortland, OR 97230-6733
Mailing Address3587 Heathrow WayMedford, OR 97504-4004 · (541) 858-8170 · Fax (541) 858-8167
Phone(503) 489-5045
Fax(503) 489-5638
Sole ProprietorNo
Enumeration DateJuly 5, 2022
NPPES CertifiedJuly 5, 2022
✔ NPI 1649903048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
17640 NE HALSEY ST, Portland, OR 97230
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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.

JOHN LACY
Counselor (Mental Health)
17640 NE HALSEY ST
PORTLAND, OR 97230
Multnomah County (503) 489-5045
AMANDA DREHER
Counselor (Mental Health)
17640 NE HALSEY ST
PORTLAND, OR 97230
Multnomah County (503) 489-5045
JEWELL COLBERT
Counselor (Mental Health)
17640 NE HALSEY ST
PORTLAND, OR 97230
Multnomah County (503) 489-5045
MARIAH BARCINAS
Counselor (Mental Health)
17640 NE HALSEY ST
PORTLAND, OR 97230
Multnomah County (503) 489-5045
JERI DARR
Counselor (Mental Health)
17640 NE HALSEY ST
PORTLAND, OR 97230
Multnomah County (503) 654-7654
SHANIQUA BURTON
Counselor (Mental Health)
17640 NE HALSEY ST
PORTLAND, OR 97230
Multnomah County (503) 489-5045
ANGELINA CYNTHIA JEAN CORONA
Counselor (Mental Health)
17640 NE HALSEY ST
PORTLAND, OR 97230
Multnomah County (503) 489-5045
GRACEE HEART
Counselor (Mental Health)
17640 NE HALSEY ST
PORTLAND, OR 97230
Multnomah County (503) 489-5045

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 Makeda Moore's NPI number?

The NPI number for Makeda Moore is 1649903048. It was assigned to this individual provider in the NPPES registry on July 5, 2022.

Where is Makeda Moore located?

Makeda Moore practices at 17640 NE Halsey St, Portland, OR 97230. The listed phone number is (503) 489-5045.

What is Makeda 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 Makeda Moore was last updated on July 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.