Moon, David K.

Moon, David K. is an individual health care provider with primary practice located at 9205 Sw Barnes Rd , Portland OR 97225-6603. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Moon, David K. can be contacted via phone (503) 216-2906.

Contact Information

Primary practice address
9205 Sw Barnes Rd Portland OR 97225-6603
Phone: (503) 216-2906
Fax: (503) 216-4114
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD23264 Oregon
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD23264 Oregon

Profile Details

NPI number 1609872753
LBN Legal business name Moon, David K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Jul 26th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609872753 NPPES
Oregon MEDICAID 129981
Oregon MEDICAID 8233157
Oregon Other P00465304

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