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DALTON KENNETH MOLLER
NPI 1841910007
Physician Assistant - Medical in Portland, OR

Active since August 29, 2022PECOS Enrolled
3303 S BOND AVE, PORTLAND, OR 97239(503) 418-3376 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 5, 2025, Aug 29, 2022 (2 updates tracked since 2022).

About Dalton Kenneth Moller NPPES

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

DALTON KENNETH MOLLER (NPI 1841910007) is an individual medical provider in Portland, Oregon, licensed in Oregon (PA224657) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1841910007
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameDALTON KENNETH MOLLER
Location Address3303 S BOND AVEPortland, OR 97239-4501
Mailing Address3303 S Bond AvePortland, OR 97239-4501 · (503) 418-3376
Phone(503) 418-3376
Sole ProprietorNo
Enumeration DateAugust 29, 2022
Last NPPES UpdateMay 5, 20252 updates tracked since enumeration
NPPES CertifiedMay 5, 2025
✔ NPI 1841910007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in OR · PA224657
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3303 S BOND AVE, Portland, OR 97239
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Secondary Practice Location 1

Location 12730 S Moody AvePortland, OR 97201-5042 · Phone (801) 831-5909

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dalton Kenneth Moller is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

CHERYL STOMBERG FNP
Nurse Practitioner (Family)
3303 S BOND AVE
PORTLAND, OR 97239
Multnomah County (503) 494-6594
KIT MIRANDA
Speech-Language Pathologist
3303 S BOND AVE
PORTLAND, OR 97239
Multnomah County (503) 494-5947
MRS. LINDSAY EVELYN WYANT PAC
Physician Assistant (Surgical)
3303 S BOND AVE
PORTLAND, OR 97239
Multnomah County (503) 494-8510
MS. STEFANIE ANN BROWN L.C.S.W.
Social Worker (Clinical)
3303 S BOND AVE
PORTLAND, OR 97239
Multnomah County (503) 494-1775
DR. MELISSA DANIELLE ADAIR ARNP
Nurse Practitioner (Family)
3303 S BOND AVE
PORTLAND, OR 97239
Multnomah County (503) 418-3376
EMMA MARIANE JONES
Physician Assistant (Medical)
3303 S BOND AVE
PORTLAND, OR 97239
Multnomah County (503) 494-8573
EMMA JO NEUMANN
Social Worker (Clinical)
3303 S BOND AVE
PORTLAND, OR 97239
Multnomah County (503) 418-7730
MICHAEL ZATT
Psychiatry & Neurology (Neurology)
3303 S BOND AVE
PORTLAND, OR 97239
Multnomah County (503) 494-7772

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 Dalton Moller's NPI number?

The NPI number for Dalton Moller is 1841910007. It was assigned to this individual provider in the NPPES registry on August 29, 2022.

Where is Dalton Moller located?

Dalton Moller practices at 3303 S Bond Ave, Portland, OR 97239. The listed phone number is (503) 418-3376.

What is Dalton Moller's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Dalton Moller enrolled in Medicare?

Yes. Dalton Moller is registered in the Medicare PECOS enrollment system.

What insurance does Dalton Moller accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Dalton Moller as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dalton Moller was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.