Organization
THE RISE MOOR HEALING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEIK DURRELL KINSEY BEY (MINISTER OF INFORMATION)
(509) 406-4853
Entity
Organization
Contact information
Practice address
2130 N KILPATRICK ST UNIT 17634, PORTLAND, OR 97217-0025
(509) 406-4853
Mailing address
2130 N KILPATRICK ST UNIT 17634, PORTLAND, OR 97217-0025
(509) 406-4853
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
175T00000X
Peer Specialist
Primary
—
—
374K00000X
Religious Nonmedical Practitioner
—
—
Other
Enumeration date
03/17/2026
Last updated
03/17/2026
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