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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

COTRELL MOORE
NPI 1679013601
Counselor - Mental Health in Portland, OR

Active since February 23, 2017
7759 SE 72ND AVE, PORTLAND, OR 97206(503) 788-4500 Get Directions Write a Review

NPPES record last updated: October 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 7, 2026, Feb 23, 2017 (2 updates tracked since 2017).

About Cotrell Moore NPPES

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

COTRELL MOORE (NPI 1679013601) is an individual mental health provider in Portland, Oregon and active in the NPI registry since February 2017.

NPPES Registry Identity

NPI1679013601
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameCOTRELL MOORE
Location Address7759 SE 72ND AVEPortland, OR 97206-7921
Mailing Address7759 Se 72nd AvePortland, OR 97206-7921 · (503) 788-4500
Phone(503) 788-4500
Sole ProprietorYes
Enumeration DateFebruary 23, 2017
Last NPPES UpdateOctober 7, 20262 updates tracked since enumeration
NPPES CertifiedOctober 7, 2026
✔ NPI 1679013601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
7759 SE 72ND AVE, Portland, OR 97206
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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.

PA EDDI CAMARA
Case Manager/Care Coordinator
7759 SE 72ND AVE
PORTLAND, OR 97206
Multnomah County (503) 788-4500
EINAR CHRISTIAN HUGHES
Counselor (Mental Health)
7759 SE 72ND AVE
PORTLAND, OR 97206
Multnomah County (503) 788-4500
KATHERINE ANN HURLBUT RN
Registered Nurse
7759 SE 72ND AVE
PORTLAND, OR 97206
Multnomah County (503) 788-4500
KAYLA A HERMENS
Counselor (Mental Health)
7759 SE 72ND AVE
PORTLAND, OR 97206
Multnomah County (503) 788-4500
STEPHANIE CARSON
Counselor (Mental Health)
7759 SE 72ND AVE
PORTLAND, OR 97206
Multnomah County (503) 788-5400
GERMAN PEREZ HERNANDEZ
Counselor (Mental Health)
7759 SE 72ND AVE
PORTLAND, OR 97206
Multnomah County (503) 267-3879
ALYSEN RAYNE OHRMUND
Clinic/Center (Adult Mental Health)
7759 SE 72ND AVE
PORTLAND, OR 97206
Multnomah County (503) 788-4500
CHRISTINA L PONCE RN,MT
Registered Nurse
7759 SE 72ND AVE
PORTLAND, OR 97206
Multnomah County (503) 788-4500

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 Cotrell Moore's NPI number?

The NPI number for Cotrell Moore is 1679013601. It was assigned to this individual provider in the NPPES registry on February 23, 2017.

Where is Cotrell Moore located?

Cotrell Moore practices at 7759 SE 72nd Ave, Portland, OR 97206. The listed phone number is (503) 788-4500.

What is Cotrell 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 Cotrell Moore was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.