IndividualActive
William Moore, DC
NPI 1689067142 · Sports Physician Chiropractor · Portland, OR
Provider details
- NPI number
- 1689067142
- Entity type
- Individual
- Primary specialty
- Sports Physician ChiropractorChiropractic Providers
- Credential
- DC
- Sex
- Male
- Sole proprietor
- No
- License
- 5609 (OR)
Specialties & taxonomies
Chiropractic Providers
Practice location
2900 Ne 132nd Ave
Portland, OR 97230-3014
Phone: (503) 260-3204
Approximate (ZIP-level) locationGet directions
Mailing address
16677 Ne Russell St Apt 121
Portland, OR 97230-5964
Registry dates
- Enumerated
- 2015-03-09
- Last updated
- 2015-03-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.