Donald E Moulton, RN OTC is a
Technician based in Coos Bay, Oregon. Donald E Moulton is licensed to practice in Oregon (license number 930064 OT-SC) and his current practice location is
1900 Woodland Dr, Coos Bay, Oregon. He can be reached at his office (for appointments etc.) via phone at
(541) 267-5151.
NPI number for Donald E Moulton is 1538294897 and his current mailing address is 1900 Woodland Dr, Coos Bay, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1538294897.
Provider's Profile
Full Name | Donald E Moulton |
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Gender | Male |
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Speciality | Technician |
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Location | 1900 Woodland Dr, Coos Bay, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1538294897
- Provider Enumeration Date: 02/23/2007
- Last Update Date: 03/23/2010
Medical Identifiers
Medical identifiers for Donald E Moulton such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1538294897 | NPI | - | NPPES |
1407812365 | Other | OR | GROUP NPI NUMBER |
930635514 | Other | OR | GROUP TAX ID FOR BILLING |
R0000WFBTV | Other | OR | MEDICARE GROUP PIN NUMBER |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 083026191RN (Oregon) | Secondary |
163WX0800X | Registered Nurse - Orthopedic | 930064 (Oregon) | Secondary |
374700000X | Technician | 930064 OT-SC (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Donald E Moulton is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Donald E Moulton, RN OTC 1900 Woodland Dr, Coos Bay, OR 97420-0000 Ph: (541) 267-5151 | Donald E Moulton, RN OTC 1900 Woodland Dr, Coos Bay, OR 97420-0000 Ph: (541) 267-5151 |
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