Moore, Clifford Andrew
Moore, Clifford Andrew is an sole proprietor health care provider with primary practice located at 10180 Se Sunnyside Rd , Clackamas OR 97015-8970. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Moore, Clifford Andrew can be contacted via phone (210) 269-9289.Contact Information
Primary practice address
10180 Se Sunnyside Rd
Clackamas OR 97015-8970
Phone: (210) 269-9289
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 202200913NP-PP | Oregon |
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | AP61256697 | Washington |
Profile Details
| NPI number | 1497389811 |
|---|---|
| LBN Legal business name | Moore, Clifford Andrew |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 25th, 2020 |
| Last updated | Mar 13th, 2022 - about 3 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.
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