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

Jamianne Moore

Individual provider Physician Assistant · NPI 1477026342

Jamianne Moore is a Physician Assistant in Portland, Oregon. Practices as a sole proprietor and works from 2 locations. Licensed in Arizona, Oregon and Washington.

Licensed in
AZ, OR, WA
In the registry since
2019
Specialties on file
3

Practice location Address checks out

4713 N Albina Ave Unit 301
Portland, OR 97217-2605
Phone: (503) 850-2474
Show map & directions

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

Additional practice locations (1)

  • 2525 Ne 139th St Ste 270, Vancouver, WA 98686-2719 — (360) 882-2778

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA218023 (OR)
Physician Assistant Taxonomy 363A00000X · Licence PA61309256 (WA)
Physician Assistant Taxonomy 363A00000X · Licence 7390 (AZ)

Record details

NPI number1477026342
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 3, 2019
Last updated in NPPESJune 23, 2025
Certification dateJune 23, 2025
Mailing address700 Ne 87th Ave, Vancouver, WA 98664-4896

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