Individual
KRISTINA BRITTANY MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1001 N PROVIDENCE DR STE 325, NEWBERG, OR 97132-7485
(503) 537-6026
(503) 537-6027
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
011889
OH
207RC0000X
Cardiovascular Disease Physician
67012-21
WI
207RC0000X
Cardiovascular Disease Physician
Primary
DO198364
OR
Other
Enumeration date
03/27/2013
Last updated
09/11/2020
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