Individual
MR. ROBERT HUGH MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1075 SW CEDARWOOD AVE, MCMINNVILLE, OR 97128-6818
(503) 435-1550
(503) 435-1435
Mailing address
1075 SW CEDARWOOD AVE, MCMINNVILLE, OR 97128-6818
(503) 435-1550
(503) 435-1435
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
MD09471
OR
208000000X
Pediatrics Physician
Primary
MD09471
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00257004
BLUE CROSS BLUE SHIELD
OR
01
—
11249
KAISER
OR
Enumeration date
10/11/2006
Last updated
09/11/2025
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