National Provider Identifier Database

IAN J MOORE, PEER SUPPORT SPECIAL – NPI #1861762809
Specialist

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.


Contact Information

IAN J MOORE, PEER SUPPORT SPECIAL
1911 HAZEL AVE
MEDFORD, OR97501
Phone: 541-734-3951
Fax:
Website:
Specialty Taxonomy Code
* Specialist 174400000X
Case Manager/Care Coordinator 171M00000X

* Indicates primary specialty

NPI Profile & details for IAN J MOORE

NPI Number 1861762809
Credentials PEER SUPPORT SPECIAL
Entity Individual
Enumeration date 01/09/2012
Last updated 01/09/2012 - About 14 years ago
Sole proprietor1 No
Identifiers n/a
Hospital affiliation n/a

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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