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Contact Information

JOEL D MOORE, ED.S.
1314 SW KALAMA AVE BLDG B
REDMOND, OR97756-3054
 Phone: 541-325-2410
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

School

103TS0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JOEL D MOORE · (Male)

NPI Number 1154274140
Status Active
Credentials ED.S.
Entity Individual
Enumeration date 02/18/2026
Last updated 02/18/2026 - About 4 months ago
Sole proprietor 1 No
Identifiers
  • OR License # 511623
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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