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NPI 1821962226

IndividualActive

Casey Moore

NPI 1821962226 · Community Health Worker · White City, OR

Provider details

NPI number: 1821962226
Entity type: Individual
Primary specialty: Community Health WorkerOther Service Providers
Sex: Male
Sole proprietor: No
License: 104489 (OR)

Practice location

7487 Gladstone Ave

White City, OR 97503-1703

Phone: (541) 778-7265

More OR providers

Mailing address

7487 Gladstone Ave

White City, OR 97503-1703

Registry dates

Enumerated: 2025-09-30
Last updated: 2025-09-30

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Casey Moore — NPI 1821962226, White City, OR | NPI Central