Organization Active NPI

The Rise Moor Healing Center

  • Peer Specialist
  • Portland, OR
National Provider Identifier
1316895493
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Legal business name
THE RISE MOOR HEALING CENTER
Practice address
2130 N Kilpatrick St Unit 17634
Portland, OR 97217-0025
Phone
(509) 406-4853
NPI assigned
Mar 17, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Authorized official

Name
Sheik Durrell Kinsey Bey
Title
Minister of Information
Phone
(509) 406-4853

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP1600X
Peer SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 175T00000X Primary
Religious Nonmedical PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 374K00000X

Addresses

Primary practice location

2130 N Kilpatrick St Unit 17634
Portland, OR 97217-0025

Mailing address

2130 N Kilpatrick St Unit 17634
Portland, OR 97217-0025
Phone (509) 406-4853

National Provider Directory

National Provider Directory

Locations

2130 N Kilpatrick St
Unit 17634
Portland, OR 97217
Phone (509) 406-4853

NPI Registry JSON

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

{
    "created_epoch": "1773705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773705600000",
    "number": "1316895493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 N KILPATRICK ST UNIT 17634",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972170025",
            "telephone_number": "509-406-4853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 N KILPATRICK ST UNIT 17634",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972170025",
            "telephone_number": "509-406-4853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RISE MOOR HEALING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-17",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A",
        "authorized_official_last_name": "KINSEY BEY",
        "authorized_official_first_name": "SHEIK DURRELL",
        "authorized_official_title_or_position": "MINISTER OF INFORMATION",
        "authorized_official_telephone_number": "509-406-4853"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "374K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Religious Nonmedical Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; 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.