Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARY LYNN MOORE, MD
ActivePediatrics · COOS BAY, OR
Registration Details
- NPI Number
- 1164432522
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 9, 2006 (19.761010683962 yrs)
- Last Updated
- Dec 10, 2008
- License
-
036-076421 (IL)
Practice Information
- Address
-
1750 THOMPSON RDCOOS BAY, OR, 97420Browse OR providers · Browse ZIP 97420
- Phone
- 5412690333
- Fax
- 5412697389
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in COOS BAY, OR
| Name | Credential | NPI |
|---|---|---|
| DR. JENNI CONNER DELEON | MD | 1215911045 |
| DR. PHILIP CAREY LAGESSE | MD | 1326022997 |
| DR. CARLA DAWN MCKELVEY | MD | 1669457883 |
| DR. DONNA LEE RABIN | MD | 1043295207 |
| NANCY ALTAMIRANO | MD | 1932159159 |
| DR. MIGUEL VICTOR LANZA | MD | 1760499115 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.