Candace Elizabeth Moore, is a
Case Manager/care Coordinator based in Portland, Oregon. Candace Elizabeth Moore is licensed to practice in * (Not Available) (license number ) and her current practice location is
1818 Se Division St, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at
(971) 302-6806.
NPI number for Candace Elizabeth Moore is 1164856100 and her current mailing address is Po Box 8459, Portland, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164856100.
Healthcare Provider's Profile
| Full Name | Candace Elizabeth Moore |
|---|
| Gender | Female |
|---|
| Speciality | Case Manager/care Coordinator |
|---|
| Location | 1818 Se Division St, Portland, Oregon |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1164856100
- Provider Enumeration Date: 08/27/2013
- Last Update Date: 08/27/2013
Medical Identifiers
Medical identifiers for Candace Elizabeth Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164856100 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Candace Elizabeth Moore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Candace Elizabeth Moore,
Po Box 8459,
Portland, OR 97207-8459
Ph: (503) 238-0769 | Candace Elizabeth Moore,
1818 Se Division St,
Portland, OR 97202-1159
Ph: (971) 302-6806 |
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