| Ms Lola Diane Moore, RN, MN, PMHNP | |
|
17714 Se Addie St Apt B, Milwaukie, OR 97267-6148 | |
| (503) 659-2244 | |
| Not Available |
| Full Name | Ms Lola Diane Moore |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 17714 Se Addie St Apt B, Milwaukie, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912143397 | NPI | - | NPPES |
| 123190 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 095000161RN (Oregon) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 200950098NP (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Lola Diane Moore, RN, MN, PMHNP 295 Amanda Ct, Oregon City, OR 97045-3467 Ph: (503) 650-4431 | Ms Lola Diane Moore, RN, MN, PMHNP 17714 Se Addie St Apt B, Milwaukie, OR 97267-6148 Ph: (503) 659-2244 |
Mrs. Marla E. Stasik, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4560 Se International Way Ste 100, Milwaukie, OR 97222 Phone: 971-712-6863 | |
Sarah Fishbein, RN, BSN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10330 Se 32nd Ave Ste 325, Milwaukie, OR 97222 Phone: 503-416-1960 Fax: 503-416-1959 | |
Samantha Jay Abbott, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10330 Se 32nd Ave Ste 325, Milwaukie, OR 97222 Phone: 503-416-1960 | |
Joel Aaron Michels, F.N.P Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10505 Se 17th Ave, Suite 210, Milwaukie, OR 97222 Phone: 503-467-1271 Fax: 855-232-6902 | |
Dr. Andreana Marie-concetta Gentile, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17070 Se Mcloughlin Blvd, Milwaukie, OR 97267 Phone: 503-305-6282 Fax: 503-908-0208 | |
Constance Cora Leben, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6400 Se Lake Rd Ste 325, Milwaukie, OR 97222 Phone: 503-786-1711 Fax: 503-786-9919 | |
Mr. William Timothy Dudley, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 17070 Se Mcloughlin Blvd, Milwaukie, OR 97267 Phone: 503-303-4000 |