Moore, Michael Andrew
Moore, Michael Andrew is an individual health care provider with primary practice located at 10123 Se Market St , Portland OR 97216-2532. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Moore, Michael Andrew can be contacted via phone (503) 251-6129.Contact Information
Primary practice address
10123 Se Market St
Portland OR 97216-2532
Phone: (503) 251-6129
Fax: (503) 261-6782
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | MD10938 | Oregon |
Profile Details
| NPI number | 1235265414 |
|---|---|
| LBN Legal business name | Moore, Michael Andrew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 24th, 2007 |
| Last updated | May 20th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235265414 | NPPES |
| Oregon | MEDICAID | 024880 |
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