Moore, Terri L

Moore, Terri L is an individual health care provider with primary practice located at 400 Hickory Street Nw Suite 200, Albany OR 97321-1700. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Moore, Terri L can be contacted via phone (541) 812-5800.

Contact Information

Primary practice address
400 Hickory Street Nw Suite 200 Albany OR 97321-1700
Phone: (541) 812-5800
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 083038699RN Oregon
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 083038699N7 Oregon

Profile Details

NPI number 1821016965
LBN Legal business name Moore, Terri L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Nov 3rd, 2020 - about 4 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 1821016965 NPPES
Oregon MEDICAID 210824

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