Moore, Kathleen R
Moore, Kathleen R is an individual health care provider with primary practice located at 1303 Ne Cushing Dr Ste 100 , Bend OR 97701. She recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as her primary health care specialty. Moore, Kathleen R can be contacted via phone (541) 388-2333.Contact Information
Primary practice address
1303 Ne Cushing Dr Ste 100
Bend OR 97701
Phone: (541) 388-2333
Fax: (541) 388-0930
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | MD19840 | Oregon |
Profile Details
| NPI number | 1285607721 |
|---|---|
| LBN Legal business name | Moore, Kathleen R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2006 |
| Last updated | Sep 11th, 2018 - about 6 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 | 1285607721 | NPPES |
| Oregon | Other | 200026305 | RAILROAD MEDICARE |
| Oregon | MEDICAID | 079954 | RAILROAD MEDICARE |
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