Tyna Lee Moore, N.D., D.C.

Primary specialty

NaturopathTaxonomy code 175F00000X

License

1637 Issued in OR

Practice address

10200 SW Eastridge St
Ste 135
Portland, OR 97225-5064

Phone

(503) 644-4446

Fax

(503) 644-1993

NPI assigned

Dec 27, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1230336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333670400000",
    "number": "1770729550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 SW EASTRIDGE ST",
            "address_2": "STE 135",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255064",
            "telephone_number": "503-644-4446",
            "fax_number": "503-644-1993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 SW EASTRIDGE ST",
            "address_2": "STE 135",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255064",
            "telephone_number": "503-644-4446",
            "fax_number": "503-644-1993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "TYNA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "N.D., D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-27",
        "last_updated": "2012-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "1637",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3932",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steve Moore, PHD, MS, MBA, FACMG
• Suzanne Michelle Moore
• Tasha Ann Moore, QMHA
• Tieara Elizabeth Moore
• Tracy Moore, RD
• Vicki Darlene Moore, RN, MSN, ACNP
• Vincent Andrew Moore, MD, MPH&TM
• Wendy Michel Moore, MA PHYSICAL THERAPY
• William Moore, D.M.D.
• William Moore III, DC

• Naturopath in Portland, OR
• Providers in Portland, OR by specialty
• Naturopath in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.

Verify at the official NPI Registry.