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Organization

MOON MOUNTAIN FAMILY MEDICINE INCORPORATED

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMANDA DAVALOS FNP (OWNER/PROVIDER)
(541) 224-8283
Entity
Organization

Contact information

Practice address
258 E 10TH AVE STE 103, EUGENE, OR 97401-3255
(541) 224-8283
Mailing address
258 E 10TH AVE STE 103, EUGENE, OR 97401-3255
(541) 224-8283

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
03/25/2026
Last updated
03/25/2026
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