Jillian Marguerite Moore, CRM

NPI #1992680177 in Pendleton, Oregon

Provider Information

NPI Number: 1992680177
Entity Type: Individual
Name: Jillian Marguerite Moore, CRM
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Credential: CRM
Enumeration Date: Aug 7, 2025
Last Updated: Jan 22, 2026

Practice Location

Address: 200 SE HAILEY AVE STE 204
City: Pendleton
State: Oregon
ZIP Code: 97801-3072
Phone: (541) 663-4104

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X

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