Individual
DR. STEPHEN PATRICK MOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3838 PACIFIC AVE, FOREST GROVE, OR 97116-2224
(503) 992-0288
(503) 359-4742
Mailing address
16788 SW SARALA ST, ALOHA, OR 97007-6572
(503) 380-1641
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
MD17858
OR
Other
Enumeration date
12/03/2005
Last updated
07/25/2013
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