OrganizationActive
Timothy Moore
NPI 1821667304 · Counselor · Bend, OR
Provider details
- NPI number
- 1821667304
- Entity type
- Organization
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Timothy Moore, Owner(541) 306-0474
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
384 Sw Upper Terrace Dr Ste 212
Bend, OR 97702-3514
Phone: (541) 306-0474
Approximate (ZIP-level) locationGet directions
Mailing address
250 Nw St Helens Pl
Bend, OR 97703-2661
Registry dates
- Enumerated
- 2021-06-21
- Last updated
- 2021-06-21
- Certified
- 2021-06-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.