MELISSA MARIE MOORE PA NPI 1851481725

NPI Information

NPI: 1851481725
Provider Name: MELISSA MARIE MOORE, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
2570 NW EDENBOWER BLVD
#100
ROSEBURG, OR
ZIP 97471
Phone: (541) 677-7200
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Melissa Marie Moore, PA is a medical physician assistant in Roseburg, OR. Melissa Marie Moore, PA NPI is 1851481725. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2570 NW EDENBOWER BLVD
#100
ROSEBURG, OR
ZIP 97471
Phone: (541) 677-7200
Fax: (541) 229-3309

The enumeration date for this NPI number is 10/13/2006 and was last updated on 9/8/2008.

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	363AM0700X	Physician Assistant	Medical	85002846	ILLINOIS	No
2	363AM0700X	Physician Assistant	Medical	PA03176	OREGON	Yes

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: 5/5/2024

NPI Synchronization or Removal

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