Individual
MICHAEL J MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, OHSU DEPARTMENT OF EMERGENCY MEDICINE MAIL CODE: CDW-EM, PORTLAND, OR 97239
(503) 494-8311
Mailing address
3181 SW SAM JACKSON PARK RD, OHSU DEPARTMENT OF EMERGENCY MEDICINE MAIL CODE: CDW-EM, PORTLAND, OR 97239-3011
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD176626
OR
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
10814527-1205
UT
Other
Enumeration date
06/02/2013
Last updated
11/08/2021
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