Moore Care Providers

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

MD12769 Issued in OR

Legal business name

MOORE CARE PROVIDERS

Practice address

1675 SW Marlow Ave
Portland, OR 97225-5104

Phone

(503) 442-6546

NPI assigned

May 6, 2010

Organization subpart

No

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

Authorized official

Name

Kent G Benner

Title

Ceo

Phone

(503) 442-6546

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273104000000",
    "number": "1811215403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 SW MARLOW AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 SW MARLOW AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255104",
            "telephone_number": "503-442-6546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE CARE PROVIDERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-06",
        "last_updated": "2010-05-06",
        "status": "A",
        "authorized_official_last_name": "BENNER",
        "authorized_official_first_name": "KENT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "503-442-6546"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OR",
            "license": "MD12769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William M Mooney, M.D.
• Moonlight Acupuncture LLC
• Moonlight Sleep Remedies Inc
• Moonlight Therapies LLC
• Moonwell Therapy LLC
• Moore Therapy Services, LLC
• Tamu Y Moore-Smith, DNP, CRNP
• Alexander Moore
• Alexandria Rose Moore
• Alison Moore

• Gastroenterology Physician in Portland, OR
• Providers in Portland, OR by specialty
• Gastroenterology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2010; 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.