1. Home
  2. Directory
  3. Oregon
  4. Clackamas
  5. Family Medicine
  6. NPI Profile

LARRY L MOFFETT DO
NPI 1194789453
Family Medicine in Clackamas, OR

Active since April 13, 2006
11211 SE SUNNYSIDE RD, CLACKAMAS, OR 97015(503) 659-0880(503) 513-7425 Get Directions Write a Review

NPPES record last updated: March 17, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Larry L Moffett Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LARRY L MOFFETT DO (NPI 1194789453) is an individual family medicine provider in Clackamas, Oregon, licensed in Oregon (DO15179) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1194789453
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameLARRY L MOFFETTCredential: DO
Location Address11211 SE SUNNYSIDE RDClackamas, OR 97015-7787
Mailing AddressPo Box 92900Portland, OR 97292-0900 · (503) 659-0880 · Fax (503) 513-7425
Phone(503) 659-0880
Fax(503) 513-7425
Sole ProprietorNo
Enumeration DateApril 13, 2006
Last NPPES UpdateMarch 17, 2010
✔ NPI 1194789453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OR · DO15179
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
11211 SE SUNNYSIDE RD, Clackamas, OR 97015
Open in Google Maps ↗

Other Identifiers 4

Medicaid159723OR
Other0202942WA · Wa Labor & Industries
Medicare UPIND38454
Medicare ID-Type Unspecified106875OR

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER ANDRESON A.R.N.P
Nurse Practitioner (Family)
11211 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 659-0880
BRETT MICHAEL SULLIVAN D.M.D., M.D.
Dentist (Oral and Maxillofacial Surgery)
11211 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 652-8080
LESLIE NICOLE CLEMENTS LCSW
Social Worker (Clinical)
11211 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 740-1971

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Larry Moffett's NPI number?

The NPI number for Larry Moffett is 1194789453. It was assigned to this individual provider in the NPPES registry on April 13, 2006.

Where is Larry Moffett located?

Larry Moffett practices at 11211 SE Sunnyside Rd, Clackamas, OR 97015. The listed phone number is (503) 659-0880.

What is Larry Moffett's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Larry Moffett was last updated on March 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.