Sabrena Marie Moore in Corvallis - Physician Assistant
Sabrena Marie Moore - NPI 1467568808
Sabrena Marie Moore is a Physician Assistant in Corvallis, Oregon. Sabrena Marie Moore practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Sabrena Marie Moore is 1467568808. The last update date is 2022-07-21.
Sabrena Marie Moore's current location address is 3600 Nw Samaritan Dr, Corvallis, Oregon. You can contact this provider via phone number 5417685021 and fax number 5417685179. The mailing address for Sabrena Marie Moore is 3600 Nw Samaritan Dr, Corvallis, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sabrena Marie Moore |
|---|---|
| Address | 3600 Nw Samaritan Dr, Corvallis, Oregon |
| Phone Number | 5417685021 |
| Fax Number | 5417685179 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1467568808 |
|---|---|
| Provider Enumeration Date | 2006-08-21 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 3600 Nw Samaritan Dr |
|---|---|
| City | Corvallis |
| State | Oregon (OR) |
| Post Code | 973303737 |
| Phone Number | 5417685021 |
| Fax Number | 5417685179 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA182290 |
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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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What is the Sabrena Marie Moore's unique identification number?
The Sabrena Marie Moore has been assigned the NPI (National Provider Identifier) Number 1467568808 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
What is Sabrena Marie Moore's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Sabrena Marie Moore is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
On what date did the Sabrena Marie Moore receive its 1467568808 assignment from the Centers for Medicare & Medicaid Services?
The Sabrena Marie Moore was assigned its 1467568808 by the Centers for Medicare & Medicaid Services on 2006-08-21.
As of what date were the Sabrena Marie Moore's details last updated?
The information pertaining to the Sabrena Marie Moore, including its address, specialty, and other details, was most recently updated on 2022-07-21.
As of what date were the details related to Sabrena Marie Moore most recently updated or revised?
The information pertaining to Sabrena Marie Moore, including its address, specialty, and other relevant details, was last updated or revised on 2022-07-21.