Moore, Heather M

Moore, Heather M is an individual health care provider with primary practice located at 15455 Nw Greenbrier Pkwy Ste 111, Beaverton OR 97006-7374. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Moore, Heather M can be contacted via phone (503) 531-3434.

Contact Information

Primary practice address
15455 Nw Greenbrier Pkwy Ste 111 Beaverton OR 97006-7374
Phone: (503) 531-3434
Fax: (503) 645-4544
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD19292 Oregon

Profile Details

NPI number 1265424048
LBN Legal business name Moore, Heather M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Mar 4th, 2014 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1265424048 NPPES
Oregon MEDICAID 071592

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