| Timothy M Moore Llc | |
|
704 W Hood Ave Sisters OR 97759-1529 | |
| (541) 280-5210 | |
| (541) 280-5210 |
| Full Name | Timothy M Moore Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 704 W Hood Ave, Sisters, Oregon |
| Authorized Official Name and Position | Timothy M Moore (CLINICAL DIRECTOR/OWNER) |
| Authorized Official Contact | 5412805210 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy M Moore Llc 704 W Hood Ave Sisters OR 97759-1529 Ph: (541) 280-5210 | Timothy M Moore Llc 704 W Hood Ave Sisters OR 97759-1529 Ph: (541) 280-5210 |
| NPI Number | 1255217824 |
|---|---|
| Provider Enumeration Date | 08/11/2025 |
| Last Update Date | 08/15/2025 |
| Certification Date | 08/15/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255217824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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