JESSICA MOORE CRM
NPI 1548043615
Peer Specialist in Beaverton, OR

NPI Status: Active since August 14, 2023

Contact Information

20895 SW MARTINI CT
BEAVERTON, OR
ZIP 97078
Phone: (503) 890-1904
Fax: (503) 648-0755

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  • Individual
  • Female
  • Peer Specialist

About JESSICA MOORE

This page provides the complete NPI Profile along with additional information for Jessica Moore, a provider established in Beaverton, Oregon with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1548043615 assigned on August 2023. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1548043615
Provider Name
JESSICA MOORE CRM
Gender
Female
Entity Type
Individual
Location Address
20895 SW MARTINI CT BEAVERTON, OR 97078
Location Phone
(503) 890-1904
Location Fax
(503) 648-0755
Mailing Address
1027 E BURNSIDE ST PORTLAND, OR 97214
Mailing Phone
(503) 239-8400
Mailing Fax
(503) 648-0755
Is Sole Proprietor?
No
Enumeration Date
08-14-2023
Last Update Date
08-14-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Peer Specialist

Taxonomy Code
175T00000X
Type
Other Service Providers
Taxonomy Description
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.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1548043615
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
258804662
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 8 + 8 + 0 + 4 + 6 + 6 + 2 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1548043615 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548043615, enumerated in the NPI registry as an "individual" on August 14, 2023

The provider is located at 20895 Sw Martini Ct Beaverton, Or 97078 and the phone number is (503) 890-1904

The provider's speciality is Peer Specialist with taxonomy code 175T00000X

This NPI record was last updated on August 14, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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