Individual
JOSEY RAE ANTHONY-MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRM,CADC-R
Contact information
Practice address
21440 SE STARK ST, GRESHAM, OR 97030-2024
(971) 703-4623
Mailing address
11010 SE DIVISION ST STE 11104SE, PORTLAND, OR 97266-6400
(971) 703-4623
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
25-CRM-4052
OR
Other
Enumeration date
07/03/2025
Last updated
07/03/2025
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