Active NPI
Moir M Budden, MD
- Surgery Physician
- Portland, OR
National Provider Identifier
1154471308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 10495
- Practice address
- 2804 SE Steele St
Suite 2
Portland, OR 97202-4525 - Phone
- (503) 654-3108
- Fax
- (503) 232-2164
- NPI assigned
- Jan 11, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 10495 | OR | Primary |
Addresses
Primary practice location
2804 SE Steele St
Suite 2
Portland, OR 97202-4525
Mailing address
2804 SE Steele St
Suite 2
Portland, OR 97202-4525
Phone (503) 654-3108
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004945 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10495 | OR | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastmoreland Surgical Clinic | Surgery | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgery Physician
- Portland, OR
- NPI 1396775672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333324800000",
"number": "1154471308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2804 SE STEELE ST",
"address_2": "SUITE 2",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972024525",
"telephone_number": "503-654-3108",
"fax_number": "503-232-2164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2804 SE STEELE ST",
"address_2": "SUITE 2",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972024525",
"telephone_number": "503-654-3108",
"fax_number": "503-232-2164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUDDEN",
"first_name": "MOIR",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-11",
"last_updated": "2012-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OR",
"license": "10495",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004945",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.