Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1548043615 Individual Practitioner Female Practitioner

Jessica Moore , CRM

Peer Specialist • Beaverton, OR

Professional Overview & Biography Verified Profile Summary

Jessica Moore, CRM is a registered healthcare professional specializing in Peer Specialist in Beaverton, OR. Practice services are available at 20895 SW MARTINI CT under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

20895 Sw Martini Ct

Beaverton, OR 970784050

Telephone 5038901904
Fax 5036480755
Associated Practice Facility / Clinic
🏢 Coda, Inc. Facility NPI 1437213865

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Beaverton, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
34 Specialists

Practicing in Beaverton, OR (3408 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-08-14
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

27 Associated Practitioners
NPI 1083009534
Crystal Schneider , QMHP

Counselor - Addiction (Substance Use Disorder)

NPI 1093811788

Qualified Mental Health Professional

Harry Hesselgesser , MA, CADC II

Counselor - Addiction (Substance Use Disorder)

NPI 1124419817

Master of Arts, CADCII

Misty Criswell , CADC I

Counselor - Addiction (Substance Use Disorder)

NPI 1144884628

CADCI

Christine Woolsey , FNP-C

Nurse Practitioner - Family

NPI 1184149437

Family Nurse Practitioner (Certified)

Robert Schneider , CADC

Counselor - Addiction (Substance Use Disorder)

NPI 1205472107

Certified Alcohol and Drug Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 14, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location August 14, 2023

Registered at 20895 SW MARTINI CT, BEAVERTON, OR 970784050 (Tel: 5038901904)

📍
Updated Business Mailing Address August 14, 2023

Registered at 1027 E BURNSIDE ST, PORTLAND, OR 972141328 (Tel: 5032398400)

👤
Provider Name / Credentials Updated August 14, 2023

Recorded as JESSICA MOORE, CRM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2023

Peer Specialist

🟢
Initial NPI Registration & Enumeration August 14, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1548043615
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 14, 2023
Last Update: August 14, 2023
Sole Proprietor: No

Mailing Address

1027 E Burnside St

Portland, OR 972141328

Phone: 5032398400

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.