Mrs Tyna Lee Moore, ND, DC is a
Naturopath based in Portland, Oregon. Mrs Tyna Lee Moore is licensed to practice in Oregon (license number 1637) and her current practice location is
10200 Sw Eastridge St, Ste 135, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 644-4446.
NPI number for Mrs Tyna Lee Moore is 1770729550 and her current mailing address is 10200 Sw Eastridge St, Ste 135, Portland, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1770729550.
Healthcare Provider's Profile
| Full Name | Mrs Tyna Lee Moore |
|---|
| Gender | Female |
|---|
| Speciality | Naturopath |
|---|
| Location | 10200 Sw Eastridge St, Portland, Oregon |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1770729550
- Provider Enumeration Date: 12/27/2008
- Last Update Date: 04/06/2012
Medical Identifiers
Medical identifiers for Mrs Tyna Lee Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1770729550 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 111N00000X | Chiropractor | 3932 (Oregon) | Secondary |
| 175F00000X | Naturopath | 1637 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Tyna Lee Moore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mrs Tyna Lee Moore, ND, DC 10200 Sw Eastridge St, Ste 135, Portland, OR 97225-5064 Ph: (503) 644-4446 | Mrs Tyna Lee Moore, ND, DC 10200 Sw Eastridge St, Ste 135, Portland, OR 97225-5064 Ph: (503) 644-4446 |
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