Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kerry Moore

Individual provider Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · NPI 1578113445

Dr. Kerry Moore is a Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2019.

Licensed in
OR
In the registry since
2019
Specialties on file
2

Practice location Address checks out

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3098
Phone: (717) 856-2173
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence RPH-0016026 (OR)
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Taxonomy 1835P0018X · Licence RPH-0016026 (OR)

Record details

NPI number1578113445
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 12, 2019
Last updated in NPPESNovember 8, 2021
Certification dateNovember 8, 2021
Mailing address3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011

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