Juliette Moore, MD | |
2055 Exchange St Ste 270, Astoria, OR 97103-3419 | |
(503) 338-4670 | |
(503) 338-4671 |
Full Name | Juliette Moore |
---|---|
Gender | Female |
Speciality | Surgery |
Location | 2055 Exchange St Ste 270, Astoria, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700144615 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | MD179268 (Oregon) | Primary |
Entity Name | Providence Health & Services Oregon |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652 |
Entity Name | Providence Health & Services Oregon |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003991845 PECOS PAC ID: 5395656284 Enrollment ID: O20031113000626 |
Entity Name | Providence Health & Services Oregon |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578500492 PECOS PAC ID: 1557260106 Enrollment ID: O20040102000768 |
Entity Name | Providence Health & Services Oregon |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366536963 PECOS PAC ID: 6103728753 Enrollment ID: O20040123000371 |
Mailing Address | Practice Location Address |
---|---|
Juliette Moore, MD 2111 Exchange St, Astoria, OR 97103-3329 Ph: () - | Juliette Moore, MD 2055 Exchange St Ste 270, Astoria, OR 97103-3419 Ph: (503) 338-4670 |
Dr. Ali Dowlatdad, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2055 Exchange St, Suite 270, Astoria, OR 97103 Phone: 503-325-9597 Fax: 503-325-9639 | |
Truman M Sasaki, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2055 Exchange St, Suite 290, Astoria, OR 97103 Phone: 503-338-5353 Fax: 503-338-5252 | |
Dr. John T Moon, MD, PHD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2055 Exchange St Ste 270, Astoria, OR 97103 Phone: 503-338-4670 | |
Dr. Eric Zimmermann, MD Surgery Medicare: Medicare Enrolled Practice Location: 2055 Exchange St Ste 270, Astoria, OR 97103 Phone: 503-338-4670 Fax: 503-338-4671 | |
Dr. Richard Arthur Crass, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2265 Exchange St, Astoria, OR 97103 Phone: 503-325-4321 Fax: 503-338-4018 | |
Dr. Brenda Joy Schmidt, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2111 Exchange St, Astoria, OR 97103 Phone: 503-325-4321 |