CASSANDRA JO MOORE
NPI 1912423252
Counselor - Mental Health in Portland, OR

Active since August 18, 2017
1720 NW LOVEJOY ST, PORTLAND, OR 97209(503) 379-0773 Get Directions Write a Review

NPPES record last updated: August 18, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cassandra Jo Moore NPPES

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

CASSANDRA JO MOORE (NPI 1912423252) is an individual mental health provider in Portland, Oregon, licensed in Oregon (R4698) and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1912423252
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCASSANDRA JO MOORE
Location Address1720 NW LOVEJOY STPortland, OR 97209-2346
Mailing Address10730 Ne Tillamook StPortland, OR 97220-3767
Sole ProprietorNo
Enumeration DateAugust 18, 2017
NPI 1912423252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in OR · R4698
1720 NW LOVEJOY ST, Portland, OR 97209

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Massage Therapist
1720 NW LOVEJOY ST, SOLACE THERAPEUTICS #107
PORTLAND, OR 97209
Marriage & Family Therapist
1720 NW LOVEJOY ST, 328
PORTLAND, OR 97209
Nurse Practitioner (Psychiatric/Mental Health)
1720 NW LOVEJOY ST
PORTLAND, OR 97209

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 Cassandra Moore's NPI number?

The NPI number for Cassandra Moore is 1912423252. It was assigned to this individual provider in the NPPES registry on August 18, 2017.

Where is Cassandra Moore located?

Cassandra Moore practices at 1720 NW Lovejoy St, Portland, OR 97209. The listed phone number is (503) 379-0773.

What is Cassandra 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 Cassandra Moore was last updated on August 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.