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NPI Code Detail

MEDICARE: DR. HEATHER M MOORE MD

MEDICARE:  DR. HEATHER M MOORE  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianMD19292OR

General Provider Information

NPI Number : 1265424048
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HEATHER M MOORE MD
Provider Business Mailing Address
First Line : 7213 SW HAZEL FERN RD
Second Line :
City : TIGARD
State : OR
Zip : 97224-7716
Country : US
Telephone Number : 503-214-2064
Fax Number : 503-598-3360
Provider Business Practice Location Address
First Line : 7213 SW HAZEL FERN RD
Second Line :
City : TIGARD
State : OR
Zip : 97224-7716
Country : US
Telephone Number : 503-214-2064
Fax Number : 503-598-3360
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2005
Last Update Date : 01/29/2026

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Directions to “ DR. HEATHER M MOORE MD” Practice Location

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