DR. RYAN MOORE (NPI# 1811543507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811543507 |
| Entity Type | Individual |
| Full Name | DR. RYAN MOORE |
| Practice Address |
3600 Nw Samaritan Dr Corvallis OR 97330-3737 |
| Practice Telephone | 5417685071 |
| Enumeration Date | 2019-08-18 |
| Last Update Date | 2019-08-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
RPH-0015527 | OR | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912540857 | Ryan David Moore | Military Health Care Provider | Montereale 24, Aviano, PORDENONE 33170 | 2019-10-23 |
| 1669024402 | Ryan C Moore | Occupational Therapy Assistant | 11736 Rolling Pine Ln, Port Richey, FL 34668-1150 | 2019-07-11 |
| 1518467653 | Ryan Moore | Student in an Organized Health Care Education/Training Program | 17211 W Salome St, Goodyear, AZ 85338-1826 | 2018-02-15 |
| 1114467750 | Ryan Moore | Chiropractor | 328 Alexander St Se, Suite 12, Marietta, GA 30060-2092 | 2017-03-01 |
| 1528266202 | Ryan E Moore | Orthopaedic Surgery | 6 Woodland Rd Ste 202, Saint Helena, CA 94574 | 2007-07-05 |
| 1942322557 | Ryan Curtis Moore | Counselor | 117 Se Martin Luther King Jr Blvd, Stuart, FL 34994-3043 | 2007-04-04 |
| 1346316932 | Ryan Mary Moore | Nurse Practitioner | 42575 Washington, Palm Desert, CA 92211-8850 | 2006-11-27 |
| 1669096459 | Ryan Moore | Counselor | 4977 Northcutt Pl, Dayton, OH 45414-3839 | 2020-06-08 |
| 1891316600 | Ryan L Moore | Respiratory Therapist, Registered | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2020-05-04 |
| 1073145264 | Ryan Moore | Registered Nurse | 1155 Dairy Ashford Rd Ste 560, Houston, TX 77079-3035 | 2020-02-06 |
| Street Address |
3600 NW SAMARITAN DR |
| City | CORVALLIS |
| State | OR |
| Zip Code | 97330-3737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912998451 | Elizabeth A. Monson | Nurse Practitioner | 3600 Nw Samaritan Dr, Suite E350, Corvallis, OR 97330-3737 | 2005-11-03 |
| 1114539616 | Rachel Wortman | Occupational Therapist | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2020-08-18 |
| 1467063198 | Karleen Hollis | Occupational Therapist | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2020-08-14 |
| 1265058408 | Lisa M Stein | Dietitian, Registered | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2020-06-23 |
| 1881219608 | Yesenia Sequera | Doula | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2020-06-09 |
| 1336761808 | Thomas Crum | Family Medicine | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2020-05-07 |
| 1447871587 | Daniel Stephen Mortens | Family Medicine | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2020-04-29 |
| 1275153355 | Patrik Osornio-centerwall | Family Medicine | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2020-04-20 |
| 1932729951 | Sunny D Patel | Surgery | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2020-04-20 |
| 1760002034 | James Reece Harris | Surgery | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2020-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235754912 | Miya Claborn | Counselor | 4495 Se Hwy 20, Corvallis, OR 97330 | 2020-06-09 |
| 1548889017 | Greydi Olvera | Counselor | Childrens Farm Home 4455 Ne Hwy 20, Corvallius, OR 97330 | 2020-04-14 |
| 1053953992 | Andie Marie Gaipo | Counselor | 4455 Ne Hwy 20 - Children's Farm Home, Corvallis, OR 97330 | 2019-10-11 |
| 1740847177 | Stephen Jack Eccles | Behavior Technician | Trillium Children's Farm Home, 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-05-21 |
| 1750944815 | Tiffany Rene Flinchpaugh | Counselor | Children's Farm Home 4455 Hwy 20, Corvallis, OR 97330 | 2019-04-15 |
| 1679035455 | Isaiah Mile Cassidy | Counselor | Children's Farm Home-4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-04-02 |
| 1982168399 | Haylee Cramblit | Counselor | Children's Farm Home 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-01-30 |
| 1457835365 | Ashley Alyn Couch | Counselor | 4455 Hwy 20 Corvallis 97330, Corvallis, OR 97330 | 2018-09-18 |
| 1104318898 | Megan Gerding | Technician, Other | 996 Nw Circle Blvd Suite 103, Corvallis, OR 97330 | 2018-05-30 |
| 1700377108 | Pacific Hearing Services | Audiologist | 975 Nw Spruce Ave, Suite #101, Corvallis, OR 97330 | 2018-05-22 |
| Find all providers in zip 97330 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730795212 | Ali Olyaei | Pharmacist | 13852 Amberwood Cir, Lake Oswego, OR 97035-6716 | 2020-09-19 |
| 1093341786 | James Slater | Pharmacist | 13344 Sw Havencrest St, Beaverton, OR 97005-0951 | 2020-03-13 |
| 1235621525 | Yvette Grando Holman | Pharmacist | 1311 Nw 21st Ave, Portland, OR 97209-1610 | 2018-06-01 |
| 1376812057 | Dan Colley | Pharmacist | 2995 Sw Vista Dr, Portland, OR 97225-4144 | 2011-12-23 |
| 1104078047 | Myrna Y. Munar | Pharmacist | 3303 Sw Bond Avenue, Ch12c, Osu / Ohsu College of Pharmacy, Portland, OR 97239-4501 | 2008-10-22 |
| 1518149913 | Steven Richard Martin | Pharmacist | 5417 Ne 138th Ave, Portland, OR 97230 | 2007-11-28 |
| 1255544631 | Kristina Lee Butler | Pharmacist | 4400 Ne Halsey St Ste 490, Portland, OR 97213-1545 | 2007-05-08 |
| 1528289998 | Dawn Chieko Fuke | Pharmacist | 4400 Ne Halsey St Fl 4, Portland, OR 97213-1545 | 2007-05-01 |
| 1003031485 | Robert Craig Adams | Pharmacist | 1220 Sw 3rd Ave Ste 476, Portland, OR 97204-2812 | 2007-04-13 |
| 1528107513 | Joel C Marrs | Pharmacist | 3303 Southwest Bond Ave., Campus Box, Ch12c, Portland, OR 97239-4501 | 2007-02-06 |
| Find all providers with the same taxonomy | ||||
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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.