Individual
MICHAEL JEFFREY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
707 SW WASHINGTON ST STE 700, PORTLAND, OR 97205-3523
(503) 299-9906
(503) 225-9002
Mailing address
PO BOX 35147, 1801, SEATTLE, WA 98124-5147
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD60339436
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
OR
Other
Enumeration date
04/21/2009
Last updated
11/16/2023
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