NATHANIEL RANDALL MOORE (NPI# 1538529300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538529300 |
| Entity Type | Individual |
| Full Name | NATHANIEL RANDALL MOORE |
| Other Name | NATHANIEL RANDALL THOMPSON-MOORE |
| Credential | PHARM.D. |
| Practice Address |
1919 Nw Lovejoy St Portland OR 97209-1503 |
| Mailing Address |
14311 Se Amberlyn Ct Clackamas OR 97015-7223 |
| Practice Telephone | 9712012640 |
| Mailing Telephone | 2817945715 |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2016-03-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
RPH-0014564 | OR | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565803 | Nathaniel A Moore | Counselor | 11764 West Aspen Lane, Loa, UT 84747 | 2020-10-09 |
| 1598243271 | Nathaniel Michael Moore II | Specialist/Technologist, Other | 310 Fairfield Pike, Yellow Springs, OH 45387-1903 | 2018-08-03 |
| 1275570301 | Nathaniel J Moore | Family Medicine | 895 S Logan St, Denver, CO 80209 | 2006-05-31 |
| 1003426461 | Nathaniel J Moore | Behavior Technician | 382 Racetrack Rd, Mcdonough, GA 30252-1022 | 2020-07-31 |
| 1518407162 | Nathaniel Lewis Moore | Marriage & Family Therapist | 27281 Las Ramblas, Suite 200, Mission Viejo, CA 92691-6324 | 2017-03-01 |
| 1124406178 | Nathaniel P. Moore | Physician Assistant | 111 Colchester Ave., Uvm Medical Center - Surgery/emergency Dept., Burlington, VT 05401-1473 | 2015-05-11 |
| 1164816500 | Nathaniel Moore | Emergency Medicine | 1 Health Cir, Lexington, VA 24450-2448 | 2015-03-24 |
| 1396148128 | Nathaniel Moore | Pharmacist | 1990 Nw Cary Pkwy, Morrisville, NC 27560-7235 | 2014-10-07 |
| 1124276936 | Nathaniel Elliott Moore | Physical Therapist | 216 Scuffletown Rd Ste B, Simpsonville, SC 29681-7296 | 2008-09-04 |
| Street Address |
1919 NW LOVEJOY ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97209-1503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730205725 | Tamara X Arthur | Preventive Medicine | 1919 Nw Lovejoy St, Portland, OR 97209-1503 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508476250 | Harrington Health Clinic | Nurse Practitioner | 310 Nw Glisan Street, Portland, OR 97209 | 2020-08-07 |
| 1619599636 | Rivers Way Training Clinic | Community/Behavioral Health | 2049 Nw Hoyt, Portland, OR 97209 | 2020-05-13 |
| 1518590538 | Julie Kay Igarta | Registered Nurse | 140 Northwest 14th Avenue, Portland, OR 97209 | 2020-02-18 |
| 1407492002 | Oregon Injection Clinic | Clinic/Center | 1500 Nw Lovejoy, 106, Portland, OR 97209 | 2019-11-19 |
| 1487202883 | Ann Tesora | Massage Therapist | 1320 Northwest 20th Avenue, Portland, OR 97209 | 2019-08-28 |
| 1972160455 | Vincent Martin | Massage Therapist | 210 Sw 17th Avenue, Portland, OR 97209 | 2019-05-21 |
| 1154896546 | Jennifer Marie Dodd | Social Worker | 1722 Nw Raleigh St Spc 412, Portland, OR 97209 | 2018-10-11 |
| 1922551910 | Ashley Crowell | Physician Assistant | 949 Nw Overton St Unit 306, Portland, OR 97209 | 2016-07-26 |
| 1326408394 | Jennifer Blain | Counselor | 324 Nw Davis, Portland, OR 97209 | 2016-03-03 |
| 1275993255 | Lauren Dodson | Licensed Practical Nurse | 324 Nw Davis St, Portland, OR 97209 | 2016-03-03 |
| Find all providers in zip 97209 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588178701 | Daniel Hendrickson | Pharmacist | 503 Sw 5th Avenue, Portland, OR 97204 | 2017-11-27 |
| 1336662204 | Jenny French | Pharmacist | 9427 Sw Barnes Rd Ste 295, Portland, OR 97225-6652 | 2017-07-21 |
| 1104378199 | Derek Andrus | Pharmacist | 5717 Nw 138th, Portland, OR 97230 | 2016-10-26 |
| 1245695956 | M. Katherine Welch | Pharmacist | 3228 Sw Water Ave, Portland, OR 97239-4632 | 2015-12-22 |
| 1790176006 | Jacob Tang | Pharmacist | 1940 Se 12th Ave Apt 9, Portland, OR 97214-4779 | 2015-02-09 |
| 1902211196 | Danit Chetron | Pharmacist | 2323 Sw Caldew St, Portland, OR 97219-2618 | 2014-06-25 |
| 1023350881 | Joey Goren Degrood | Pharmacist | 9044 Sw Rystadt Ln, Portland, OR 97225-2851 | 2013-03-20 |
| 1831435213 | James L Huang | Pharmacist | 300 N Graham St Ste 200, Portland, OR 97227 | 2012-12-12 |
| 1972853331 | Sharon Leigh | Pharmacist | 4531 Se Belmont St. Suite 100, Portland, OR 97215-1675 | 2012-09-13 |
| 1649544107 | Ryan Bradley | Pharmacist | 6348 Ne Halsey St Ste A, Portland, OR 97213-4720 | 2012-03-01 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.