Raquel P Moore, PA-C
Individual provider Active NPI Physician Assistant · Oregon City, OR
NPI 1992363329 · NPPES record last updated Jun 26, 2026
Key facts
- NPI
- 1992363329
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA202068 (OR)
- Practice address
- 1510 Division St Ste 200
Oregon City, OR 97045-1599 - Phone
- (503) 962-1000
- NPI assigned
- May 31, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Oregon Health Sciences University School of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Providence Health and Services - Oregon
Providence Health and Services Oregon
Practice addresses (Care Compare)
1111 Crater Lake Ave
Medford, OR 97504-6241
Phone (541) 732-5250
940 Royal Ave
Medford, OR 97504-6194
Hospital & facility affiliations
- Providence Medford Home Care
- Providence Medford Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210302000983 | OR | Practitioner - Physician Assistant | 4688080567 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA202068 | OR | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services - Oregon | Current |
Accepting new patients | |
| Providence Health & Services Oregon | Current |
Accepting new patients | |
| Providence Health & Services - Oregon | Current |
Accepting new patients | |
| Yakima Valley Farm Workers Clinic | Current |
Accepting new patients | |
| Providence Health & Services - Oregon | Current |
Accepting new patients |
Locations
589 NW 11th St
Hermiston, OR 97838
Phone (503) 567-1717
940 Royal Ave
Unit 350
Medford, OR 97504
Phone (541) 732-7460
1111 Crater Lake Ave
Medford, OR 97504
Phone (541) 732-5250
8935 SE Powell Blvd
Portland, OR 97266
Phone (503) 349-7864
3896 Beverly Ave NE
Ste 40
Salem, OR 97305
Phone (503) 588-0076
Interoperability endpoints
- rmoore32732@yvfwc.direct-ci.com
- rmoore2434134@oc.providencedirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA202068 | OR | Yes |
Addresses
Primary practice location
1510 Division St Ste 200
Oregon City, OR 97045-1599
Mailing address
1510 Division St Ste 200
Oregon City, OR 97045-1599
Other practice location 1
2920 Commercial St SE
Salem, OR 97302-4552
Phone (971) 301-4919
Other providers in Oregon City, OR
- Jodi Rae Moon
- Katie Marika Moon
- Amanda Moore-Witter
- Alexa Moore
- Andrew Moore
- Jeffrey Scott Moors
- Charito Morales
- Kathryn Morales
- Loretta Inez Morales
- Jesus Armando Moreno
All providers in Oregon City, OR · Physician Assistant in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.