Jillian Marguerite Moore, CRM is a
Peer Specialist based in Pendleton, Oregon. Jillian Marguerite Moore is licensed to practice in Oregon (license number 25-CRM-4289) and her current practice location is
200 Se Hailey Ave Ste 204, Pendleton, Oregon. She can be reached at her office (for appointments etc.) via phone at
(541) 663-4104.
NPI number for Jillian Marguerite Moore is 1992680177 and her current mailing address is 1275 W Madrona Ave Apt B, Hermiston, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1992680177.
Healthcare Provider's Profile
| Full Name | Jillian Marguerite Moore |
|---|
| Gender | Female |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 200 Se Hailey Ave Ste 204, Pendleton, Oregon |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1992680177
- Provider Enumeration Date: 08/07/2025
- Last Update Date: 01/22/2026
Medical Identifiers
Medical identifiers for Jillian Marguerite Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1992680177 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | T-25-5204 (Oregon) | Secondary |
| 175T00000X | Peer Specialist | 25-CRM-4289 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jillian Marguerite Moore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Jillian Marguerite Moore, CRM 1275 W Madrona Ave Apt B, Hermiston, OR 97838-1445 Ph: (541) 314-5570 | Jillian Marguerite Moore, CRM 200 Se Hailey Ave Ste 204, Pendleton, OR 97801-3072 Ph: (541) 663-4104 |
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