Dr Stephen Patrick Moon, MD | |
3838 Pacific Ave, Forest Grove, OR 97116-2224 | |
(503) 992-0288 | |
(503) 359-4742 |
Full Name | Dr Stephen Patrick Moon |
---|---|
Gender | Male |
Speciality | Emergency Medicine - Emergency Medical Services |
Location | 3838 Pacific Ave, Forest Grove, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003890997 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207PE0004X | Emergency Medicine - Emergency Medical Services | MD17858 (Oregon) | Primary |
Entity Name | Santiam Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912178823 PECOS PAC ID: 6103729751 Enrollment ID: O20040130000239 |
Entity Name | Western Healthcare Services Texas |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336878024 PECOS PAC ID: 7911388202 Enrollment ID: O20220718002665 |
Mailing Address | Practice Location Address |
---|---|
Dr Stephen Patrick Moon, MD 16788 Sw Sarala St, Aloha, OR 97007-6572 Ph: (503) 380-1641 | Dr Stephen Patrick Moon, MD 3838 Pacific Ave, Forest Grove, OR 97116-2224 Ph: (503) 992-0288 |
Dr. Kimthuy Tuan Le, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1809 Maple St, Forest Grove, OR 97116 Phone: 503-357-2172 | |
John Joseph Kaib, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1809 Maple St, Forest Grove, OR 97116 Phone: 503-357-2173 Fax: 503-357-2318 | |
David Nerseth Irvine, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1809 Maple St, Forest Grove, OR 97116 Phone: 503-357-2173 Fax: 503-357-2318 | |
Miroslav Kavur, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1809 Maple St, Forest Grove, OR 97116 Phone: 503-359-6180 Fax: 503-357-2318 | |
Robert James Eichner, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1809 Maple St, Forest Grove, OR 97116 Phone: 503-359-6180 Fax: 503-357-2318 |