MEDICARE: LINDA Y 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
1	174400000X	Specialist	MD15675	OR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447282207
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA Y MOORE MD

Provider Business Mailing Address
First Line	:	INTEL HEALTH FOR LIFE CENTER
Second Line	:	2501 NE CENTURY BLVD. RA3
City	:	HILLSBORO
State	:	OR
Zip	:	97124-5506
Country	:	US
Telephone Number	:	971-214-8422
Fax Number	:

Provider Business Practice Location Address
First Line	:	INTEL HEALTH FOR LIFE CENTER
Second Line	:	2501 NE CENTURY BLVD. RA3
City	:	HILLSBORO
State	:	OR
Zip	:	97124-5506
Country	:	US
Telephone Number	:	971-214-8422
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/06/2006
Last Update Date	:	07/01/2024

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Directions to “ LINDA Y MOORE MD” Practice Location

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