Individual provider · Type 1 NPI

Joseph Moore

Student in an Organized Health Care Education/Training Program · Milwaukie, OR

NPI number 1114803368 Active

Practice location

10202 SE 32nd Ave Ste 701
Milwaukie, OR 97222-3625

Call (503) 496-3201 Map

Mailing address

5415 SW Westgate Dr
Portland, OR 97221-2409

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1114803368

Joseph Moore's National Provider Identifier is 1114803368, issued on Aug 13, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Milwaukie, OR. The record was last updated on Aug 13, 2025.