Moore, Gregory Anthony
Moore, Gregory Anthony is an sole proprietor health care provider with primary practice located at 74B Centennial Loop Suite 100, Eugene OR 97401-7918. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as his primary health care specialty. Moore, Gregory Anthony can be contacted via phone (541) 686-3791.Contact Information
Primary practice address
74B Centennial Loop Suite 100
Eugene OR 97401-7918
Phone: (541) 686-3791
Fax: (541) 686-3795
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | MD28629 | Oregon |
Profile Details
| NPI number | 1457496705 |
|---|---|
| LBN Legal business name | Moore, Gregory Anthony |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 21st, 2007 |
| Last updated | Mar 22nd, 2011 - about 13 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 | 1457496705 | NPPES |
| Oregon | MEDICAID | 500601851 |
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