Stephen Patrick Moon M.D.

NPI 1003890997 - Emergency Medicine - 207PE0004X

NPI Details
NPI 1003890997
Gender Male
Enumeration Date 12/03/2005
Last Updated 07/25/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
3838 PACIFIC AVE
FOREST GROVE OR, 97116-2224, US
Phone (503) 992-0288
Fax (503) 359-4742
Business Location
16788 SW SARALA ST
ALOHA OR, 97007-6572, US
Phone (503) 380-1641
Fax
Toxanomy
Taxonomy Code 207PE0004X
License State Oregon
License Number MD17858
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According to our database, Dr. Stephen Patrick Moon M.D. NPI is 1003890997, taxonomy code is 207PE0004X and license number is MD17858, license state is located at Oregon. Stephen Patrick Moon M.D. physically located at 3838 Pacific Ave, Forest Grove OR, 97116-2224. NPI Number Stephen Patrick Moon M.D. has the Individual type.

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1003890997 NPI number is provided on an as is basis without warranty of any kind. 1003890997 is maintained by the National Plan & Provider Enumeration System. The contents of Stephen Patrick Moon M.D. are for informational purposes only.