Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MELISSA MARIE MOORE, PA

Active

Medical Physician Assistant · ROSEBURG, OR

Registration Details

NPI Number: 1851481725
Provider Type: Individual
Gender: Female
NPI Issued: Oct 13, 2006 (19.523462788965 yrs)
Last Updated: Sep 8, 2008
Licenses: 85002846 (IL)

PA03176 (OR)

Practice Information

Address: 2570 NW EDENBOWER BLVD

#100

ROSEBURG, OR, 97471
Browse OR providers · Browse ZIP 97471
Phone: 5416777200
Fax: 5412293309
Primary Specialty: Medical Physician Assistant
363AM0700X
Additional Specialty: Medical Physician Assistant

Other Medical Physician Assistant Providers in ROSEBURG, OR

Name	Credential	NPI
LAURA C SMITH	PA	1366428203
DEBRA ANN DANIELS	P.A.	1417928672
CYNTHIA J KEYS	P.A.-C.	1851431597
MATTHEW T STARK	PA-C.	1174700934
CURTIS J COLE	PA-C	1508028721
MICHELLE YVONNE LOPERA-OTTENHEIMER	PA-C	1740444033

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.