Rhonda Roseanne Moore

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

1030077 Issued in OR

Practice address

8643 NE Beech St
Portland, OR 97220-5012

Phone

(503) 256-2151

NPI assigned

Aug 1, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185926400000",
    "number": "1174713481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8643 NE BEECH ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972205012",
            "telephone_number": "503-256-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8643 NE BEECH ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972205012",
            "telephone_number": "503-256-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "RHONDA",
        "middle_name": "ROSEANNE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-01",
        "last_updated": "2007-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OR",
            "license": "1030077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Edwards Moore, LMT
• Rachel Kathleen Moore, PA-C
• Rachel L Moore, CRM/QMHA-R
• Raina Moore
• Rebecca Moore, MSW
• Ross Moore
• Ryann Mishell Moore, LCSW
• Sarah Ellen Moore, M.D.
• Stephanie Cherie Moore, RD, CD
• Stephen Moore

• Occupational Therapy Assistant in Portland, OR
• Providers in Portland, OR by specialty
• Occupational Therapy Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.