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Vicki Darlene Moore, RN,MSN,ACNP
Acute Care Nurse Practitioner in Portland, Oregon
NPI 1023193745

Vicki Darlene Moore is an Acute Care Nurse Practitioner based in Portland, OR and is specialized in Acute Care. Vicki Darlene Moore practices in Portland, OR and has the professional credentials of RN,MSN,ACNP. The NPI Number for Vicki Darlene Moore is 1023193745 and holds a License No. 201809959NPPP (Oregon).

The current practice location address for Vicki Darlene Moore is 3181 Sw Sam Jackson Park Rd, Portland, OR and can be reached out via phone at 503-494-7481 and via fax at 503-494-0822. You can also correspond with Vicki Darlene Moore through the mailing address at 3181 SW SAM JACKSON PARK RD, PORTLAND, OR - 97239-3011 (mailing address contact number: 503-494-7481).

Location: 3181 Sw Sam Jackson Park Rd, Portland, OR, 97239-3011
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Provider Profile Details
NPI Number
1023193745
Provider Name
Vicki Darlene Moore
Credential
RN,MSN,ACNP
Provider Entity Type
Individual
Gender
Female
Address
3181 Sw Sam Jackson Park Rd, Portland, OR, 97239-3011
Phone Number
503-494-7481
Fax Number
503-494-0822
Provider Enumeration Date
10/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CA122795 01 CA MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
3181 Sw Sam Jackson Park Rd
City
State
Zip
97239-3011
Phone Number
503-494-7481
Fax Number
503-494-0822
person
Provider Business Mailing Address Details
Address
3181 Sw Sam Jackson Park Rd
City
State
Zip
97239-3011
Phone Number
503-494-7481
Fax Number
503-494-0822
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
201809959NPPP (Oregon)
Definition
Definition to come...
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