Individual
MR. JOEL AUGUST MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
271 N EGAN AVE, BURNS, OR 97720-1733
(541) 573-4099
(541) 573-8627
Mailing address
2200 NE NEFF RD, STE 200, BEND, OR 97701-4283
(541) 382-3344
(541) 382-1681
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD25714
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0199471
L&I
WA
Enumeration date
08/22/2005
Last updated
09/19/2023
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