Individual
MR. MICHAEL G MOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO, LPO
Contact information
Practice address
25925 BARTON RD UNIT 36, LOMA LINDA, CA 92354-5601
(503) 367-3848
Mailing address
PO BOX 36, LOMA LINDA, CA 92354-0036
(503) 367-3848
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
OI00000461
WA
224P00000X
Prosthetist
Primary
PS00000467
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
027853
—
OR
01
—
387074301
PC65, FC65, PPO
OR
01
—
874024000
BCBS PAR, PPP, PC
OR
Enumeration date
02/26/2007
Last updated
07/29/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us