Dr. Kathleen R Moore
Orthopaedic Spine Surgeon
1303 Ne Cushing Dr Ste 100
Bend
, Oregon 97701
Dr. Kathleen R Moore
Orthopaedic Spine Surgeon
1303 Ne Cushing Dr Ste 100
Bend
, Oregon 97701
(541) 388-2333
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About
Features
Specialties
- Orthopaedic Spine Surgeon
Languages spoken
- English
Location
First Address
- Dr. Kathleen R Moore
- 1303 Ne Cushing Dr Suite 100
- Bend, OR
- Zip : 97701-3887
- Phone : (541) 388-2333
Second Address
- Dr. Kathleen R Moore
- 1303 Ne Cushing Dr Ste 100
- Bend, OR
- Zip : 97701
- Fax : (541) 388-0930
- Phone : (541) 388-2333
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XS0117X | Orthopaedic Spine Surgeon | MD19840 | OR |
National Provider Identifier
| NPI | 1285607721 |
|---|---|
| Provider Name | Dr. Kathleen R Moore |
| First Address | Bend, OR 97701-3887 |
| Second Address | Bend, OR 97701 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/02/2006 |
| Last Update Date | 11/09/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 079954 | (05) | OR |
| 200026305 | RAILROAD MEDICARE (01) | OR |
| G08756 | (02) | OR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.