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IAN JOSEPH MOORE PEER SUPPORT SPECIAL
NPI 1861762809
Specialist in Medford, OR

Active since January 09, 2012
1911 HAZEL AVE, MEDFORD, OR 97501(541) 734-3951 Get Directions Write a Review

NPPES record last updated: January 9, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ian Joseph Moore Peer Support Special NPPES

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

IAN JOSEPH MOORE PEER SUPPORT SPECIAL (NPI 1861762809) is an individual specialist in Medford, Oregon and active in the NPI registry since January 2012.

NPPES Registry Identity

NPI1861762809
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameIAN JOSEPH MOORECredential: PEER SUPPORT SPECIAL
Location Address1911 HAZEL AVEMedford, OR 97501
Mailing Address1911 Hazel St.Medford, OR 97501 · (541) 734-3951
Phone(541) 734-3951
Sole ProprietorNo
Enumeration DateJanuary 9, 2012
✔ NPI 1861762809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
1911 HAZEL AVE, Medford, OR 97501
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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.

KERSTIN EPIFANIO
Case Manager/Care Coordinator
1911 HAZEL AVE
MEDFORD, OR 97501
Jackson County (541) 734-3950
COLTON BRYCE CHRISTIAN B.S.
Case Manager/Care Coordinator
1911 HAZEL AVE
MEDFORD, OR 97501
Jackson County (541) 734-3953
MS. CHERIE D MOORE
Counselor (Mental Health)
1911 HAZEL AVE
MEDFORD, OR 97501
Jackson County (541) 734-3953
TINA TIMMONS
Case Manager/Care Coordinator
1911 HAZEL AVE
MEDFORD, OR 97501
Jackson County (541) 734-3953
JCMH - HAZEL CENTER
Case Management
1911 HAZEL AVE
MEDFORD, OR 97501
Jackson County (541) 734-3950
OLIVER SAFOTU
Counselor (Mental Health)
1911 HAZEL AVE
MEDFORD, OR 97501
Jackson County (541) 476-2373
JONATHAN HARPER BA, MA
Counselor (Mental Health)
1911 HAZEL AVE
MEDFORD, OR 97501
Jackson County (541) 734-3952
MS. FARRAH LYNNE O'BRIEN
Social Worker
1911 HAZEL AVE
MEDFORD, OR 97501
Jackson County (541) 734-3950

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 Ian Moore's NPI number?

The NPI number for Ian Moore is 1861762809. It was assigned to this individual provider in the NPPES registry on January 9, 2012.

Where is Ian Moore located?

Ian Moore practices at 1911 Hazel Ave, Medford, OR 97501. The listed phone number is (541) 734-3951.

What is Ian Moore's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Ian Moore was last updated on January 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.