Organization
EUGENE R MOE PT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA JOHNSON (OFFICE MANAGER)
(541) 265-4252
Entity
Organization
Contact information
Practice address
1010 SW COAST HWY, SUITE 102, NEWPORT, OR 97365-5288
(541) 265-4252
(541) 265-8914
Mailing address
1010 SW COAST HWY, SUITE 102, NEWPORT, OR 97365-5288
(541) 265-4252
(541) 265-8914
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0958
OR
Other
Enumeration date
10/29/2007
Last updated
04/17/2008
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