National Provider Identifier Database

RANDY L MOORE, DO – NPI #1508813817
Radiation Oncology

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.


Contact Information

RANDY L MOORE, DO
2880 NW STEWART PKWY STE 100
ROSEBURG, OR97471-1201
Phone: 541-673-2267
Fax: 541-672-9483
Website:
Specialty Taxonomy Code
* Radiation Oncology 2085R0001X
Radiation Oncology 2085R0203X

* Indicates primary specialty

NPI Profile & details for RANDY L MOORE

NPI Number 1508813817
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/30/2006
Last updated 11/29/2021 - About 5 years ago
Sole proprietor1 No
Identifiers
  • CO License #: 28947
  • OR License #: DO26902
  • ND Medicaid: 16753
  • OR Medicaid: 026535
  • OR Other: 016146005 BCBS
  • OR Other: P00332817 RAILROAD MEDICARE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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