Michael Donald Moore in Milwaukie - Occupational Therapist
Michael Donald Moore - NPI 1366631624
Michael Donald Moore is a Occupational Therapist in Milwaukie, Oregon. Michael Donald Moore practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Michael Donald Moore is 1366631624. The last update date is 2007-10-23.
Michael Donald Moore's current location address is 4560 Se International Way, Milwaukie, Oregon. You can contact this provider via phone number 9712065149 and fax number 9712065209. The mailing address for Michael Donald Moore is 4560 Se International Way, Milwaukie, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Donald Moore |
|---|---|
| Address | 4560 Se International Way, Milwaukie, Oregon |
| Phone Number | 9712065149 |
| Fax Number | 9712065209 |
| Sole Proprietor | N |
| Credentials | MOT |
NPI Number Detail
| NPI Number | 1366631624 |
|---|---|
| Provider Enumeration Date | 2007-10-23 |
| Last Updated Date | 2007-10-23 |
Provider Mailing Address Detail
| Address | 4560 Se International Way |
|---|---|
| City | Milwaukie |
| State | Oregon (OR) |
| Post Code | 97200 |
| Phone Number | 9712065149 |
| Fax Number | 9712065209 |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | OT00002754 |
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Definition: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat |
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What is the Michael Donald Moore's 1366631624?
The Michael Donald Moore's NPI (National Provider Identifier) Number is 1366631624. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Michael Donald Moore is physically located?
The Michael Donald Moore is physically situated at the following address: 4560 Se International Way, Milwaukie, OR, 97200.
What is Michael Donald Moore's specialized field of practice, and what is the corresponding taxonomy classification code?
The Michael Donald Moore's area of specialization is Occupational Therapist, and the corresponding taxonomy code that categorizes this field of practice is 225X00000X.
On what date did Michael Donald Moore receive its 1366631624 assignment from the Centers for Medicare & Medicaid Services?
The Michael Donald Moore was assigned its 1366631624 on 2007-10-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Michael Donald Moore's information last updated?
The Michael Donald Moore's information was last updated on 2007-10-23.