Individual provider · Type 1 NPI

Haley Brooke Moak, PA-C

Physician Assistant · Portland, OR

NPI number 1639697709 Active

Practice location

10803 SE Cherry Blossom Dr
Portland, OR 97216-3107

Call (503) 261-7200 Map

Fax (503) 261-7226

Mailing address

911 SW 21st Ave Apt 204
Portland, OR 97205-1565

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1639697709

Haley Brooke Moak, PA-C's National Provider Identifier is 1639697709, issued on Sep 8, 2017. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Portland, OR. The record was last updated on Sep 8, 2017.