SCOTT RANDALL MOORE (PA-C) – Physician Assistant, NPI 1174613053

SCOTT RANDALL MOORE (PA-C) is a healthcare provider. based in Winchester, Oregon. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. PA9118238 (FL). The NPI Number for SCOTT RANDALL MOORE (PA-C) is 1174613053

Main info

Male
Name
SCOTT RANDALL MOORE (PA-C)
NPI
1174613053
Phone
(541) 673-2267
Address
PO BOX 833
Enumeration Date
13 October 2006
Last Update Date
29 January 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for SCOTT RANDALL MOORE (PA-C)

  • PO BOX 833

    WINCHESTER, OR 974950833

    Phone: (541) 673-2267

    Fax: (541) 673-2267

    Type: Mailing

  • 86 MDG, UNIT 3215, RAMSTEIN AB

    APO, AE 09094

    Phone:

    Type: Mailing

  • 113 LIELMANIS AVE

    HURLBURT FIELD, FL 325445613

    Phone:

    Type: Mailing

  • 2880, Northwest Stewart Parkway, Roseburg, Douglas County, Oregon, 97471, United States

    SUITE 100

    ROSEBURG, OR 974711201

    Phone: (541) 673-2267

    Fax: (541) 672-9483

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97495)

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Reviews

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Frequently asked questions

What federal number belongs to SCOTT RANDALL MOORE (PA-C)?
The federal identifier for SCOTT RANDALL MOORE (PA-C) is NPI 1174613053.
Is SCOTT RANDALL MOORE (PA-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does SCOTT RANDALL MOORE (PA-C) work in?
You can think of SCOTT RANDALL MOORE (PA-C) as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
What location shows for SCOTT RANDALL MOORE (PA-C)?
We surface Winchester, Oregon for SCOTT RANDALL MOORE (PA-C) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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