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TIMOTHY EVAN MOORE
NPI 1508579889
Student in an Organized Health Care Education/Training Program in Lebanon, OR

Active since January 02, 2023
200 MULLINS DR, LEBANON, OR 97355(541) 259-0235 Get Directions Write a Review

NPPES record last updated: January 2, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Timothy Evan Moore NPPES

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

TIMOTHY EVAN MOORE (NPI 1508579889) is an individual student in an organized health care education/training program provider in Lebanon, Oregon and active in the NPI registry since January 2023.Information from the official NPPES registry record, last updated January 2, 2023.

NPPES Registry Identity

NPI1508579889
Entity TypeIndividualMale
Provider Legal NameTIMOTHY EVAN MOORE
Location Address200 MULLINS DRLebanon, OR 97355-3983
Mailing Address200 Mullins DrLebanon, OR 97355-3983 · (541) 259-0235
Phone(541) 259-0235
Sole ProprietorYes
Enumeration DateJanuary 2, 2023
NPPES CertifiedJanuary 1, 2023
✔ NPI 1508579889 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

★ Primary Specialty

Student in an Organized Health Care Education/Training Program

Taxonomy 390200000X · Student, Health Care

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

200 MULLINS DR, Lebanon, OR 97355
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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

LAUREN DALLAS
Student in an Organized Health Care Education/Training Program
200 MULLINS DR
LEBANON, OR 97355
Linn County (815) 353-6886
BRADLEY THOMAS MICHEL
Student in an Organized Health Care Education/Training Program
200 MULLINS DR
LEBANON, OR 97355
Linn County (541) 248-1812
ROBYN LYNN DREIBELBIS DO
Family Medicine
200 MULLINS DR
LEBANON, OR 97355
Linn County (541) 259-0216
WESTERN UNIVERSITY OF HEALTH SCIENCES
Family Medicine (Adult Medicine)
200 MULLINS DR
LEBANON, OR 97355
Linn County (541) 259-0200
KRISTINA SOMAN-FAULKNER
Student in an Organized Health Care Education/Training Program
200 MULLINS DR
LEBANON, OR 97355
Linn County (541) 259-0200
SHANE CANRIGHT
Student in an Organized Health Care Education/Training Program
200 MULLINS DR
LEBANON, OR 97355
Linn County (503) 313-5982
KELSEY BARAN
Student in an Organized Health Care Education/Training Program
200 MULLINS DR
LEBANON, OR 97355
Linn County (651) 231-5885
BENIAMIN CORNELIU TODOR
Student in an Organized Health Care Education/Training Program
200 MULLINS DR
LEBANON, OR 97355
Linn County (541) 259-0200
KYLE THOMAS BAUGHAN
Student in an Organized Health Care Education/Training Program
200 MULLINS DR
LEBANON, OR 97355
Linn County (541) 259-0200
CARLY ALLEN
Family Medicine
200 MULLINS DR
LEBANON, OR 97355
Linn County (971) 271-4809
EDWARD P. JUNKINS JR. MD
Pediatrics (Pediatric Emergency Medicine)
200 MULLINS DR
LEBANON, OR 97355
Linn County (541) 259-0200
MRS. SELENA MARTIN SIDERAS D.O.
Student in an Organized Health Care Education/Training Program
200 MULLINS DR
LEBANON, OR 97355
Linn County (541) 259-0200
MOUSSA OMIDVAR
Student in an Organized Health Care Education/Training Program
200 MULLINS DR
LEBANON, OR 97355
Linn County (541) 259-0200
LAUREN ALEXANDRA OZDOWSKI
Student in an Organized Health Care Education/Training Program
200 MULLINS DR
LEBANON, OR 97355
Linn County (801) 663-1077
MRS. VERONICA NICHOLAS
Student in an Organized Health Care Education/Training Program
200 MULLINS DR
LEBANON, OR 97355
Linn County (541) 259-0235
JOCELYN POWELL
Student in an Organized Health Care Education/Training Program
200 MULLINS DR
LEBANON, OR 97355
Linn County (541) 207-8321
JOSEPH O'MALLEY
Student in an Organized Health Care Education/Training Program
200 MULLINS DR
LEBANON, OR 97355
Linn County (970) 443-0552
MR. ALAN JAMES PERRY
Student in an Organized Health Care Education/Training Program
200 MULLINS DR
LEBANON, OR 97355
Linn County (541) 259-0200
RILEY MCCARTHY
Student in an Organized Health Care Education/Training Program
200 MULLINS DR
LEBANON, OR 97355
Linn County (541) 259-0200
MOLLY ELIZABETH MCDONALD
Student in an Organized Health Care Education/Training Program
200 MULLINS DR
LEBANON, OR 97355
Linn County (541) 259-0200

Frequently Asked Questions

What is Timothy Moore's NPI number?

The NPI number assigned to this healthcare provider is 1508579889, enumerated as an "individual" on January 02, 2023.

Where is the provider located?

The provider is located at 200 MULLINS DR LEBANON, OR 97355 and the phone number is (541) 259-0235.

What is the provider's specialty?

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.