Moreno, Jesus Armando
Moreno, Jesus Armando is an individual health care provider with primary practice located at 1500 Division St , Oregon City OR 97045-1527. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Moreno, Jesus Armando can be contacted via phone (503) 650-6270.Contact Information
Primary practice address
1500 Division St
Oregon City OR 97045-1527
Phone: (503) 650-6270
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD158617 | Oregon |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | LL18729 | Oregon |
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | MD158617 | Oregon |
Profile Details
NPI number | 1710113386 |
---|---|
LBN Legal business name | Moreno, Jesus Armando |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 9th, 2009 |
Last updated | Nov 15th, 2021 - about 3 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 | 1710113386 | NPPES |
Oregon | MEDICAID | 500647853 | |
Oregon | Other | P01115326 |
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