Moss, Justin

Moss, Justin is an sole proprietor health care provider with primary practice located at 200 Mullins Dr , Lebanon OR 97355-3983. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Moss, Justin can be contacted via phone (253) 651-5881.

Contact Information

Primary practice address
200 Mullins Dr Lebanon OR 97355-3983
Phone: (253) 651-5881
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / General Practice 208D00000X 0102207468 Virginia

Profile Details

NPI number 1265991640
LBN Legal business name Moss, Justin
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 15th, 2019
Last updated Aug 8th, 2022 - about 4 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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