Individual provider · Type 1 NPI

Melissa Marie Moore, PA

Medical Physician Assistant · Roseburg, OR

NPI number 1851481725 Active

Practice location

2570 NW Edenbower Blvd, #100
Roseburg, OR 97471

Fax (541) 229-3309

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X85002846 (IL)
Medical Physician Assistant Primary 363AM0700XPA03176 (OR)

Medical Physician Assistant: Definition to come...

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About NPI 1851481725

Melissa Marie Moore, PA's National Provider Identifier is 1851481725, issued on Oct 13, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Roseburg, OR. The record was last updated on Sep 8, 2008.