Individual provider · Type 1 NPI
Athena Marie Moore
Specialist · Cascade Locks, OR
NPI number
1154280279
Active
Practice location
401 SE Sunset Ave
Cascade Locks, OR 97014-5011
Mailing address
PO Box 323
Cascade Locks, OR 97014-0323
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 10272869 (OR) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
About NPI 1154280279
Athena Marie Moore's National Provider Identifier is 1154280279, issued on Jan 16, 2026. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Cascade Locks, OR. The record was last updated on Jun 26, 2026.