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Jackie Louise Moffenbier, PTA

Physical Therapy Assistant in Portland, OR · enumerated 2012 · practices at Marquis Companies I, Inc.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1336405075

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Registry record

Entity type Individual (Type 1)
Name Jackie Louise Moffenbier
Credential PTA
Sex Female
Practice address 6010 Sw Shattuck Rd., Portland, OR, 97221
Phone (503) 246-8811
Fax (503) 246-9957
Enumeration date Apr 6, 2012
Last updated in NPPES Apr 6, 2012

Taxonomy & licenses

225200000X Physical Therapy Assistant Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 07104 (OR) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Jackie Moffenbier practice?
The practice location on file with NPPES is in Portland, OR. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Jackie Moffenbier?
The National Provider Identifier (NPI) for Jackie Moffenbier is 1336405075, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-04-06.