NPI 1003890997

Stephen Patrick Moon, MD

Practitioner Emergency Medical Services (Emergency Medicine) Physician Forest Grove, OR

Practice location

Address: 3838 Pacific Ave, Forest Grove, OR 97116-2224
Phone: (503) 992-0288
Fax: (503) 359-4742
Mailing address: 16788 SW Sarala St, Aloha, OR 97007-6572

Registered specialties

Emergency Medical Services (Emergency Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207PE0004X Licence MD17858 (OR)

Other Emergency Medicine providers in Oregon →

Registry record

NPI: 1003890997
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Dec 2005
Record last updated: 25 Jul 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.