Moore Therapy Services, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

MOORE THERAPY SERVICES, LLC

Practice address

2053 SE 181St Ave
Portland, OR 97233

Phone

(503) 673-6161

Fax

(480) 405-7775

NPI assigned

Aug 20, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Leai Rose

Title

Credentialing Specialist

Phone

(602) 657-6917

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597881600000",
    "number": "1205448164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 NE 181ST AVE # 215",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972306660",
            "telephone_number": "503-673-6161",
            "fax_number": "480-405-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2053 SE 181ST AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97233",
            "telephone_number": "503-673-6161",
            "fax_number": "480-405-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-20",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "LEAI",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "602-657-6917"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moonlight Acupuncture LLC
• Moonlight Sleep Remedies Inc
• Moonlight Therapies LLC
• Moonwell Therapy LLC
• Moore Care Providers
• Tamu Y Moore-Smith, DNP, CRNP
• Alexander Moore
• Alexandria Rose Moore
• Alison Moore
• Alyssa Anne Moore, QMHP

• Behavior Analyst in Portland, OR
• Providers in Portland, OR by specialty
• Behavior Analyst in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.