IndividualActive
Brent Moore, LPC
NPI 1699131763 · Mental Health Counselor · Portland, OR
Provider details
- NPI number
- 1699131763
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LPC
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
515 Nw Saltzman Rd # 645
Portland, OR 97229-6098
Phone: (971) 710-6013
Approximate (ZIP-level) locationGet directions
Mailing address
515 Nw Saltzman Rd # 645
Portland, OR 97229-6098
Registry dates
- Enumerated
- 2016-01-05
- Last updated
- 2021-07-07
- Certified
- 2021-06-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.