MS. LOLA DIANE MOORE RN, MN, PMHNP
NPI 1912143397
Nurse Practitioner - Psychiatric/Mental Health in Milwaukie, OR

Q: What is Lola Moore's NPI number?

The NPI number for Lola Moore is 1912143397. It was assigned to this individual provider in the NPPES registry on January 6, 2009.

Q: What is Lola Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Lola Moore was last updated on March 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since January 06, 2009

17714 SE ADDIE ST APT B, MILWAUKIE, OR 97267(503) 659-2244 Get Directions Write a Review

NPPES record last updated: March 3, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ms. Lola Diane Moore Rn, Mn, Pmhnp NPPES

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

MS. LOLA DIANE MOORE RN, MN, PMHNP (NPI 1912143397) is an individual psychiatric/mental health provider in Milwaukie, Oregon, licensed in Oregon (200950098NP) and active in the NPI registry since January 2009.

NPPES Registry Identity

NPI1912143397

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMS. LOLA DIANE MOORECredential: RN, MN, PMHNP

Location Address17714 SE ADDIE ST APT BMilwaukie, OR 97267-6148

Mailing Address295 Amanda CtOregon City, OR 97045-3467 · (503) 650-4431

Phone(503) 659-2244

Sole ProprietorNo

Enumeration DateJanuary 6, 2009

Last NPPES UpdateMarch 3, 2014

✔ NPI 1912143397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in OR · 200950098NP

Also ListedRegistered NurseTaxonomy 163W00000X · License 095000161RN (OR)

17714 SE ADDIE ST APT B, Milwaukie, OR 97267

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Other Identifiers 2

Medicaid123190OR

Medicare PINR155859OR

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 Lola Moore's NPI number?

The NPI number for Lola Moore is 1912143397. It was assigned to this individual provider in the NPPES registry on January 6, 2009.

Where is Lola Moore located?

Lola Moore practices at 17714 SE Addie St Apt B, Milwaukie, OR 97267. The listed phone number is (503) 659-2244.

What is Lola Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Lola Moore was last updated on March 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.