Patricia Kenney-Moore in Tualatin - Physician Assistant
Patricia Kenney-Moore - NPI 1740498120
Patricia Kenney-Moore is a Physician Assistant in Tualatin, Oregon. Patricia Kenney-Moore practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Patricia Kenney-Moore is 1740498120. The last update date is 2007-07-08.
Patricia Kenney-Moore's current location address is 19250 Sw 65th Ave, Tualatin, Oregon. You can contact this provider via phone number 5036921205. The mailing address for Patricia Kenney-Moore is 19250 Sw 65th Ave, Tualatin, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Patricia Kenney-Moore |
|---|---|
| Address | 19250 Sw 65th Ave, Tualatin, Oregon |
| Phone Number | 5036921205 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MS, PA-C |
NPI Number Detail
| NPI Number | 1740498120 |
|---|---|
| Provider Enumeration Date | 2007-05-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 19250 Sw 65th Ave |
|---|---|
| City | Tualatin |
| State | Oregon (OR) |
| Post Code | 970627452 |
| Phone Number | 5036921205 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA00606 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Patricia Kenney-Moore?
The Patricia Kenney-Moore has been issued the NPI (National Provider Identifier) 1740498120 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Patricia Kenney-Moore?
The Patricia Kenney-Moore is situated at 19250 Sw 65Th Ave, in the city of Tualatin, state of OR, with the zip code 970627452.
What is Patricia Kenney-Moore's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Patricia Kenney-Moore is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
On what date did the Patricia Kenney-Moore receive the assignment of its 1740498120 from the Centers for Medicare & Medicaid Services?
The Patricia Kenney-Moore was issued its 1740498120 by the Centers for Medicare & Medicaid Services on 2007-05-18.
As of what date were the details pertaining to Patricia Kenney-Moore last refreshed?
The information related to the Patricia Kenney-Moore, including its address, specialty, and other relevant details, was last updated on 2007-07-08.