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Jillian Marguerite Moore , CRM

Peer Specialist β€’ Pendleton, OR

Active NPI 1992680177 Individual Practitioner Female Practitioner
Practice location in NPPES

200 Se Hailey Ave Ste 204
Pendleton, OR 978013072

Call 5416634104 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

200 Se Hailey Ave Ste 204

Pendleton, OR 978013072

Telephone 5416634104
Fax 5416634142
Organization at the Same NPPES Address or Phone
Oregon Washington Health Network Facility NPI 1356971493

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2025

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Pendleton and Oregon

81 active clinicians are listed under Peer Specialist with a practice address in Pendleton, OR (3,355 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Pendleton

0% of these 81 clinicians have the CMS telehealth indicator.

0% of these 81 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-01-22
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

License # reported to NPPES OR 25-CRM-4289

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.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

License # reported to NPPES OR T-25-5204
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 22, 2026

Peer Specialist (license number reported to NPPES: OR 25-CRM-4289)

βœ…
NPI Profile Active August 07, 2025

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 07, 2025

Registered at 200 SE HAILEY AVE STE 204, PENDLETON, OR 978013072 (Tel: 5416634104)

πŸ“
Business Mailing Address (Initial Record) August 07, 2025

Registered at 1275 W MADRONA AVE APT B, HERMISTON, OR 978381445 (Tel: 5413145570)

πŸ‘€
Provider Name / Credentials (Initial Record) August 07, 2025

Recorded as JILLIAN MOORE, CRM

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2025

Community/Behavioral Health (license number reported to NPPES: OR 25-CRM-4289)

🟒
Initial NPI Registration & Enumeration August 07, 2025

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1992680177
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 07, 2025
Last Update: January 22, 2026
Sole Proprietor: Yes

Mailing Address

1275 W Madrona Ave Apt B

Hermiston, OR 978381445

Phone: 5413145570

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.