Individual provider · Type 1 NPI

Eden Moore

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

NPI number 1497669337 Active

Practice location

15455 NW Greenbrier Pkwy Ste 200
Beaverton, OR 97006-7359

Call (503) 258-4495 Map

Mailing address

11035 NE Sandy Blvd
Portland, OR 97220-2553

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 1497669337

Eden Moore's National Provider Identifier is 1497669337, issued on Sep 29, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Beaverton, OR. The record was last updated on Sep 29, 2026.