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

Mr. Clifford Andrew Moore, NP

Individual provider Acute Care Nurse Practitioner · NPI 1497389811

Mr. Clifford Andrew Moore, NP is a Nurse Practitioner in Clackamas, Oregon. Qualified in 2021, 5 years ago. Practices with Kaiser Foundation Health Plan of the Northwest, a 1,811-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon and Washington.

Years since qualifying
5
Licensed in
OR, WA
In the registry since
2020
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

10180 SE Sunnyside Rd
Clackamas, OR 97015-8970
Phone: (210) 269-9289
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 Ne Mother Joseph Pl Ste 330, Vancouver, WA 98664-3288 — (360) 514-2990

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence AP61256697 (WA)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 202200913NP-PP (OR)

Record details

NPI number1497389811
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorYes
NPI enumeratedFebruary 25, 2020
Last updated in NPPESMarch 13, 2022
Certification dateMarch 13, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Kaiser Foundation Health Plan Of The Northwest — 1811 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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