Suzanne Michelle Moore in Portland - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Suzanne Michelle Moore - NPI 1467608083
Suzanne Michelle Moore is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Portland, Oregon. Suzanne Michelle Moore practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Suzanne Michelle Moore is 1467608083. The last update date is 2010-07-29.
Suzanne Michelle Moore's current location address is 722 Ne 162nd Ave, Portland, Oregon. You can contact this provider via phone number 5035155566 and fax number 5032610988. The mailing address for Suzanne Michelle Moore is 722 Ne 162nd Ave, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Suzanne Michelle Moore |
|---|---|
| Address | 722 Ne 162nd Ave, Portland, Oregon |
| Phone Number | 5035155566 |
| Fax Number | 5032610988 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1467608083 |
|---|---|
| Provider Enumeration Date | 2008-08-14 |
| Last Updated Date | 2010-07-29 |
Provider Mailing Address Detail
| Address | 722 Ne 162nd Ave |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972305760 |
| Phone Number | 5035155566 |
| Fax Number | 5032610988 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
| Licence No | SM1219 |
|
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
|
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Suzanne Michelle Moore by the Centers for Medicare & Medicaid Services?
The Suzanne Michelle Moore has been issued the NPI (National Provider Identifier) 1467608083, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Suzanne Michelle Moore is physically located?
The Suzanne Michelle Moore is physically situated at the following address: 722 Ne 162Nd Ave, Portland, OR, 972305760.
What is Suzanne Michelle Moore's specialized field of practice, and what is the corresponding taxonomy classification code?
The Suzanne Michelle Moore's area of specialization is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this field of practice is 320900000X.
When was the Suzanne Michelle Moore's 1467608083 issued?
The Suzanne Michelle Moore's 1467608083 was issued on 2008-08-14.
When was the information pertaining to Suzanne Michelle Moore most recently updated or revised?
The details related to Suzanne Michelle Moore, including its address, specialty, and other relevant information, were last updated or revised on 2010-07-29.
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