Individual
DR. MICHAEL ANDREW MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10123 SE MARKET ST, PORTLAND, OR 97216-2532
(503) 251-6129
(503) 261-6782
Mailing address
10123 SE MARKET ST, PORTLAND, OR 97216-2532
(503) 251-6129
(503) 261-6782
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD10938
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024880
—
OR
Enumeration date
02/24/2007
Last updated
05/20/2008
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