MR. MICHAEL G MOOR CPO LPO NPI 1396871174

NPI Information

NPI: 1396871174
Provider Name: MR. MICHAEL G MOOR, CPO, LPO
Classification: Prosthetist - 224P00000X
Entity Type: Individual
Address:
25925 BARTON RD UNIT 36
LOMA LINDA, CA
ZIP 92354
Phone: (503) 367-3848
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MR. Michael G Moor, CPO, LPO is a prosthetist in Loma Linda, CA. The provider is a health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. MR. Michael G Moor, CPO, LPO NPI is 1396871174. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

25925 BARTON RD UNIT 36
LOMA LINDA, CA
ZIP 92354-601
Phone: (503) 367-3848

The enumeration date for this NPI number is 2/26/2007 and was last updated on 7/29/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	222Z00000X	Orthotist		OI00000461	WASHINGTON	No
2	224P00000X	Prosthetist		PS00000467	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	027853	MEDICAID	OREGON
2	387074301	OTHER	OREGON	PC65, FC65, PPO
3	5488730001	MEDICARE NSC	OREGON
4	874024000	OTHER	OREGON	BCBS PAR, PPP, PC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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