Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1154280279 Individual Practitioner Female Practitioner

Athena Marie Moore

Specialist • Cascade Locks, OR

Professional Overview & Biography Verified Profile Summary

Athena Moore is a registered healthcare professional specializing in Specialist in Cascade Locks, OR. Practice services are available at 401 SE SUNSET AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

401 Se Sunset Ave

Cascade Locks, OR 970145011

Telephone 5414007285

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Cascade Locks, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 35.7 Yrs
Regional Practice Density
1 Specialists

Practicing in Cascade Locks, OR (1153 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-06-26
Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License OR 10272869

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 26, 2026

Specialist (License #10272869 in OR)

NPI Profile Active January 16, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location January 16, 2026

Registered at 401 SE SUNSET AVE, CASCADE LOCKS, OR 970145011 (Tel: 5414007285)

📍
Updated Business Mailing Address January 16, 2026

Registered at PO BOX 323, CASCADE LOCKS, OR 970140323 (Tel: 5414007285)

👤
Provider Name / Credentials Updated January 16, 2026

Recorded as ATHENA MOORE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 16, 2026

Specialist/Technologist, Other

🟢
Initial NPI Registration & Enumeration January 16, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1154280279
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 16, 2026
Last Update: June 26, 2026
Sole Proprietor: No

Mailing Address

Po Box 323

Cascade Locks, OR 970140323

Phone: 5414007285

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.