Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacqueline Faith Moore, PA-C

Individual provider Physician Assistant · NPI 1679945000

Jacqueline Faith Moore, PA-C is a Physician Assistant in Albany, Oregon. Qualified in 2015, 11 years ago. Practices with Albany General Hospital, a 191-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
11
Licensed in
OR
In the registry since
2015
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

400 Hickory St NW Ste 303
Albany, OR 97321-1700
Phone: (541) 812-5275
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5234 Sw Philomath Blvd, Corvallis, OR 97333-1042 — (541) 768-4970

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA175138 (OR)

Record details

NPI number1679945000
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedOctober 26, 2015
Last updated in NPPESNovember 20, 2023
Certification dateNovember 20, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Albany General Hospital — 191 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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