Steve Moore, PHD, MS, MBA, FACMG

Primary specialty

Clinical Cytogenetics PhysicianTaxonomy code 207SC0300X

License

2009107 Issued in CA

Practice address

2525 SW 3Rd Ave
Portland, OR 97201-4901

Phone

(503) 494-2794

NPI assigned

Feb 14, 2023

Last updated

Feb 14, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Credentials

Master of Business Administration, Master of Science, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1437856903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393011",
            "telephone_number": "503-494-2794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 SW 3RD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972014901",
            "telephone_number": "503-494-2794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "STEVE",
        "name_prefix": "Prof.",
        "credential": "PHD, MS, MBA, FACMG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-14",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207SC0300X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Cytogenetics",
            "state": "CA",
            "license": "2009107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ross Moore
• Ryann Mishell Moore, LCSW
• Sarah Ellen Moore, M.D.
• Stephanie Cherie Moore, RD, CD
• Stephen Moore
• Suzanne Michelle Moore
• Tasha Ann Moore, QMHA
• Tieara Elizabeth Moore
• Tracy Moore, RD
• Tyna Lee Moore, N.D., D.C.

• Clinical Cytogenetics Physician in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Cytogenetics Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; 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.