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

Mr. Joseph Moore

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1114803368

Mr. Joseph Moore is a Student in an Organized Health Care Education/Training Program in Milwaukie, Oregon. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

10202 SE 32nd Ave Ste 701
Milwaukie, OR 97222-3625
Phone: (503) 496-3201
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1114803368
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 13, 2025
Last updated in NPPESAugust 13, 2025
Certification dateAugust 13, 2025
Mailing address5415 Sw Westgate Dr, Portland, OR 97221-2409

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