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

Nathaniel Randall Moore, PHARMD

Individual provider Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · NPI 1538529300

Nathaniel Randall Moore, PHARMD is an Undefined Non-Physician Type (Specify) in Portland, Oregon. Graduated from University of Texas at Austin Dell Medical School in 2010, 16 years ago. Licensed in Oregon.

Years since qualifying
16
Trained at
University of Texas at Austin Dell Medical School
Licensed in
OR
In the registry since
2016
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

See every abbreviation used in this directory →

Practice location Address checks out

1919 NW Lovejoy St
Portland, OR 97209-1503
Phone: (971) 201-2640
Show map & directions

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

Specialties & licences

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (primary) Taxonomy 1835P0018X · Licence RPH-0014564 (OR)

Record details

NPI number1538529300
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedMarch 7, 2016
Last updated in NPPESMarch 7, 2016
Mailing address14311 Se Amberlyn Ct, Clackamas, OR 97015-7223

Medicare enrollment

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

Medicare specialtyUNDEFINED NON-PHYSICIAN TYPE (SPECIFY)
Medical schoolUNIVERSITY OF TEXAS AT AUSTIN DELL MEDICAL SCHOOL
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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