Individual provider · Type 1 NPI

Stephen Patrick Moon, MD

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

NPI number 1003890997 Active

Practice location

3838 Pacific Ave
Forest Grove, OR 97116-2224

Call (503) 992-0288 Map

Fax (503) 359-4742

Mailing address

16788 SW Sarala St
Aloha, OR 97007-6572

Specialties and licenses

TaxonomyCodeLicense
Emergency Medical Services (Emergency Medicine) Physician Primary 207PE0004XMD17858 (OR)

Emergency Medical Services (Emergency Medicine) Physician: An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

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About NPI 1003890997

Stephen Patrick Moon, MD's National Provider Identifier is 1003890997, issued on Dec 3, 2005. The primary taxonomy on file is Emergency Medical Services (Emergency Medicine) Physician (207PE0004X), and the practice location is in Forest Grove, OR. The record was last updated on Jul 25, 2013.