IndividualActive
Amy Moore, PHARM.D.
NPI 1235588252 · Pharmacist · Portland, OR
Provider details
- NPI number
- 1235588252
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARM.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 50172 (TX)
Specialties & taxonomies
Pharmacy Service Providers
Pharmacy Service Providers
Practice location
16100 Sw 72nd Ave
Portland, OR 97224-7745
Phone: (503) 626-9436
Approximate (ZIP-level) locationGet directions
Mailing address
16100 Sw 72nd Ave
Portland, OR 97224-7745
Registry dates
- Enumerated
- 2016-06-09
- Last updated
- 2016-06-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.