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JOSEY RAE ANTHONY-MOORE CRM,CADC-R

Individual Provider (NPI-1) Active

Peer Specialist

Provider Information

NPI Number
1265322093
Provider Type
Individual Provider (NPI-1)
Credentials
CRM,CADC-R
Status
Active

Contact & Location

Address
21440 SE STARK ST, GRESHAM, OR, 970302024
Phone
(971) 703-4623

Specialties & Taxonomies

Peer Specialist Primary License: OR #25-CRM-4052

All Addresses

MAILING

11010 SE DIVISION ST STE 11104SE

PORTLAND, OR, 972666400

(971) 703-4623

LOCATION

21440 SE STARK ST

GRESHAM, OR, 970302024

(971) 703-4623