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

Melissa Marie Moore, PA

Individual provider Medical Physician Assistant · NPI 1851481725

Melissa Marie Moore, PA is a Medical Physician Assistant in Roseburg, Oregon. Licensed in Illinois and Oregon. Registered with an NPI since 2006.

Licensed in
IL, OR
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2570 NW Edenbower Blvd #100
Roseburg, OR 97471
Phone: (541) 677-7200
Fax: (541) 229-3309
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA03176 (OR)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 85002846 (IL)

Record details

NPI number1851481725
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 13, 2006
Last updated in NPPESSeptember 8, 2008

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