Dr. Stephen Patrick Moon
Emergency Medical Services
3838 Pacific Ave
Forest Grove
, Oregon 97116-2224
Dr. Stephen Patrick Moon
Emergency Medical Services
3838 Pacific Ave
Forest Grove
, Oregon 97116-2224
(503) 380-1641
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About
Features
Specialties
- Emergency Medical Services
Languages spoken
- English
Location
First Address
- Dr. Stephen Patrick Moon
- 16788 Sw Sarala St
- Aloha, OR
- Zip : 97007-6572
- Phone : (503) 380-1641
Second Address
- Dr. Stephen Patrick Moon
- 3838 Pacific Ave
- Forest Grove, OR
- Zip : 97116-2224
- Fax : (503) 359-4742
- Phone : (503) 992-0288
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207PE0004X | Emergency Medical Services | MD17858 | OR |
National Provider Identifier
| NPI | 1003890997 |
|---|---|
| Provider Name | Dr. Stephen Patrick Moon |
| First Address | Aloha, OR 97007-6572 |
| Second Address | Forest Grove, OR 97116-2224 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/12/2005 |
| Last Update Date | 25/07/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| F79847 | (02) | OR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.