Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1821085895 Deactivated / Inactive NPI Male Practitioner

Dr. Robert Moore , MD

Urology • Portland, OR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Robert Moore has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 04, 2005
NPI Deactivation Date April 23, 2021
Total Practice Duration ~16 Years of Practice (2005 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Robert Moore, MD was a registered Urology practicing in Portland, OR. Throughout an active medical career spanning 16 years, Dr. Moore provided care at the practice location at 501 N GRAHAM ST until profile deactivation on 2021-04-23.

Practice Location & Contact Primary Location

Practice Address

501 N Graham St
Suite 420

Portland, OR 972271654

Telephone 5032887303
Fax 5032883806
Associated Practice Facility / Clinic
🏢 The Urology Clinic Pc Facility NPI 1467449462

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Portland, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.0 Yrs
State Avg: 25.4 Yrs
Regional Practice Density
73 Specialists

Practicing in Portland, OR (201 Statewide)

Telehealth Adoption Rate
42.5% 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

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License OR MD05361

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
NPI 1043207871

Doctor of Medicine (M.D.)

Shelby Hill

Physician Assistant

NPI 1063181881
Bruce Fernstrom , PA-C

Physician Assistant - Surgical

NPI 1255329967

Physician Assistant (Certified)

Nhu Ngo , PA-C

Physician Assistant

NPI 1396587184

Physician Assistant (Certified)

NPI 1427635994
NPI 1528055548

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated April 23, 2021

Record deactivated on April 23, 2021

NPI Profile Active July 16, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 16, 2007

Registered at 501 N GRAHAM ST, SUITE 420, PORTLAND, OR 972271654 (Tel: 5032887303)

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Updated Business Mailing Address July 16, 2007

Registered at 501 N GRAHAM ST, SUITE 420, PORTLAND, OR 972271654 (Tel: 5032887303)

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Provider Name / Credentials Updated July 16, 2007

Recorded as ROBERT MOORE, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2007

Urology (License #MD05361 in OR)

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Initial NPI Registration & Enumeration October 04, 2005

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: 1821085895
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 04, 2005
Last Update: July 16, 2007
Deactivation Date: April 23, 2021

Mailing Address

501 N Graham St, Suite 420

Portland, OR 972271654

Phone: 5032887303

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.