Rebecca Marie Miller-Moe, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

1211 Issued in OR

Practice address

2659 Commercial St SE
Suite 200
Salem, OR 97302-4445

Phone

(503) 581-0657

Fax

(503) 581-4025

NPI assigned

Nov 28, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447326491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2659 COMMERCIAL ST SE",
            "address_2": "SUITE 200",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024445",
            "telephone_number": "503-581-0657",
            "fax_number": "503-581-4025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2659 COMMERCIAL ST SE",
            "address_2": "SUITE 200",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024445",
            "telephone_number": "503-581-0657",
            "fax_number": "503-581-4025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER-MOE",
        "first_name": "REBECCA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "OR",
            "license": "1211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mill Creek Medical Laboratory LLC
• Dakota Millak
• Cindy Marisol Millan, FNP
• Leticia Millard
• Heidi Miller McSmith, MSW, QMHP
• Andrew Miller
• Barbara S Miller, PMHNP
• Chad S Miller, PHARM. D.
• Christopher Roy Miller, PEER SPECIALIST - 1
• Crystal Miller

• Counseling Psychologist in Salem, OR
• Providers in Salem, OR by specialty
• Counseling Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.