Michael T Moore (NPI# 1407934037, PAC ID# 9032130141) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1407934037 |
| PAC ID by PECOS | 9032130141 |
| Professional Enrollment ID | I20060123000792 |
| Full Name | Michael T Moore |
| Organization Legal Name | LEGACY CLINICS LLC |
| Address |
2725 Sw Cedar Hills Blvd Suite 250 Beaverton OR 97005-1344 |
| Phone Number | 5034154060 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO |
| Graduation Year | 1990 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 0244144004 |
| Number of Group Practice Members | 466 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380004 | PROVIDENCE ST VINCENT MEDICAL CENTER |
| 380017 | LEGACY GOOD SAMARITAN MEDICAL CENTER |
| 380089 | LEGACY MERIDIAN PARK MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2725 Sw Cedar Hills Blvd, Suite 250, Beaverton, OR 97005-1344 | 5034154060 | LEGACY CLINICS LLC |
| 1130 Nw 22nd Ave, Portland, OR 97210-2934 | LEGACY CLINICS LLC | |
| 1130 Nw 22nd Ave, Suite 220, Portland, OR 97210-2969 | 5034138988 | LEGACY CLINICS LLC |
| Organization Legal Name | LEGACY CLINICS LLC |
| Physicians | 495 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elana Underwood Scharff | Nurse Practitioner | Legacy Clinics LLC | 25050 Se Stark St, Suite 265, Gresham, OR 97030-3388 |
| Jonathan Parker | Physician Assistant | Legacy Clinics LLC | 2870 Sw Cedar Hills Blvd, Beaverton, OR 97005-1354 |
| Patricia Funk | Internal Medicine | Legacy Clinics LLC | 19300 Sw 65th Ave, Meridian Park Hosp, Portland, OR 97062-7706 |
| Eric Austin Jordan Nash | Nurse Practitioner | Legacy Clinics LLC | 3425 Se 192nd Ave, Suite 106, Vancouver, WA 98683-1440 |
| Amany Bashir | Family Medicine | Legacy Clinics LLC | 8329 Sw Bverton Hills Hwy, Portland, OR 97225-2215 |
| Gayle L Shears | Physician Assistant | Legacy Clinics LLC | 3 Monroe Pkwy, Suite X, Lake Oswego, OR 97035-8875 |
| Theresa Rene Jones | Physician Assistant | Legacy Clinics LLC | 22262 Ne Glisan St, Gresham, OR 97030-8553 |
| Sean Robert Schulz | Family Medicine | Legacy Clinics LLC | 36860 Industrial Way, Sandy, OR 97055-7371 |
| Lucas J Martin | Physician Assistant | Legacy Clinics LLC | 305 Se Chkalov Dr, Suite 170, Vancouver, WA 98683-5292 |
| Aaron W Spaugy | Internal Medicine | Legacy Clinics LLC | 1015 Nw22nd Ave, Suite 34, Portland, OR 97210-3025 |
| Street Address |
2725 SW CEDAR HILLS BLVD SUITE 250 |
| City | BEAVERTON |
| State | OR |
| Zip | 97005-1344 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly F Scott | Internal Medicine | Legacy Clinics LLC | 2725 Sw Cedar Hills Blvd, Suite 250, Beaverton, OR 97005-1344 |
| Janice P Miller | Internal Medicine | Legacy Clinics LLC | 2725 Sw Cedar Hills Blvd, Suite 250, Beaverton, OR 97005-1344 |
| Todd A Hochenedel | Internal Medicine | Legacy Clinics LLC | 2725 Sw Cedar Hills Blvd, Suite 250, Beaverton, OR 97005-1344 |
| Fethiya M Mahmoud | Internal Medicine | Legacy Clinics LLC | 2725 Sw Cedar Hills Blvd, Suite 250, Beaverton, OR 97005-1344 |
| Dorelan L Miller | Internal Medicine | Legacy Clinics LLC | 2725 Sw Cedar Hills Blvd, Suite 250, Beaverton, OR 97005-1344 |
| Patricia M Engle | Internal Medicine | Legacy Clinics LLC | 2725 Sw Cedar Hills Blvd, Suite 250, Beaverton, OR 97005-1344 |
| Kevin G Semonsen | Diagnostic Radiology | Legacy Clinics LLC | 2725 Sw Cedar Hills Blvd, Suite 250, Beaverton, OR 97005-1344 |
| Gail A Moses | Internal Medicine | Legacy Clinics LLC | 2725 Sw Cedar Hills Blvd, Suite 250, Beaverton, OR 97005-1344 |
| David S Weingarten | Internal Medicine | Legacy Clinics LLC | 2725 Sw Cedar Hills Blvd, Suite 250, Beaverton, OR 97005-1344 |
| Robert P Barlow | Family Medicine | Legacy Clinics LLC | 2725 Sw Cedar Hills Blvd, Suite 250, Beaverton, OR 97005-1344 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Monica S Froman-reid | Clinical Psychologist | Western Psychological and Counseling PC | 9670 Sw Bear, Beaverton, OR 97005 |
| Cynthia Crowley Carr | Clinical Social Worker | Western Psychological and Counseling PC | 9670 Sw Bear, Hillsdale Hwy, Beaverton, OR 97005 |
| Roammie H Ko | Clinical Social Worker | Western Psychological and Counseling PC | 9670 Sw Bear, Beaverton, OR 97005 |
| Anne M Willis | Clinical Psychologist | Western Psychological and Counseling PC | 9670 Sw Bear, Hillsdale Hwy, Beaverton, OR 97005 |
| Laurie A Mahlbauer | Nurse Practitioner | Western Psychological and Counseling PC | 9670 Sw Bear, Hillsdale Hwy, Beaverton, OR 97005 |
| Margo C Pactanac | Clinical Social Worker | Western Psychological and Counseling PC | 9670 Sw Bear, Hillsdale Hwy, Beaverton, OR 97005 |
| Martha Villegas-gutierroz | Clinical Psychologist | Western Psychological and Counseling PC | 9670 Sw Bear, Hillsdale Hwy, Beaverton, OR 97005 |
| Carrie Lynn Binder | Nurse Practitioner | Praxis Medical Group Inc | 4510 Sw Hall Blvd, Beaverton, OR 97005-0504 |
| Leslie Cody | Nurse Practitioner | Praxis Medical Group Inc | 4510 Sw Hall Blvd, Beaverton, OR 97005-0504 |
| David P Harris | Physical Therapy | Praxis Medical Group Inc | 4510 Sw Hall Blvd, Beaverton, OR 97005-0504 |
| Find all physicians in zip 97005 | |||
| City | BEAVERTON |
| Zip Code | 97005 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | BEAVERTON + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Michael T Moore.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.