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:
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Health care specialties

SpecialtyCodeLicense #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 16 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 1235265414 NPPES
Oregon MEDICAID 024880

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