Jillian Marguerite Moore, CRM

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

25-CRM-4289 Issued in OR

Practice address

200 SE Hailey Ave Ste 204
Pendleton, OR 97801-3072

Phone

(541) 663-4104

Fax

(541) 663-4142

NPI assigned

Aug 7, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Oregon Washington Health Network

  • Health Service Clinic/Center
  • Pendleton, OR
  • NPI 1356971493

  Addiction (Substance Use Disorder)

  NPD

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

{
    "created_epoch": "1754524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1992680177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 W MADRONA AVE APT B",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978381445",
            "telephone_number": "541-314-5570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SE HAILEY AVE STE 204",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978013072",
            "telephone_number": "541-663-4104",
            "fax_number": "541-663-4142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JILLIAN",
        "middle_name": "MARGUERITE",
        "credential": "CRM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-07",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "25-CRM-4289",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "T-25-5204",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominique Maree Mock, QMHA
• Christina Moe
• Michelle M Monkman, O.D.
• Lawrence Montez, CRM
• Monique Montoya
• Darcy Anne Morales, DMD
• Katie C Morioka, WHNP-BC
• Nicole Barnes Morris
• William D Morris, QMHA
• Brian Morrison, MS

• Peer Specialist in Pendleton, OR
• Providers in Pendleton, OR by specialty
• Peer Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.