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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DONALD E MOULTON, RN OTC

Active Sole Proprietor

DONALD E MOULTON, RN OTC is a Behavioral Health Technician healthcare provider located in COOS BAY, Oregon. NPI 1538294897 is currently active in the NPPES registry. Verify at CMS.

Behavioral Health Technician · COOS BAY, OR

Registration Details

NPI Number
1538294897
Provider Type
Individual
Gender
Male
NPI Issued
Feb 23, 2007 (19.289702511126 yrs)
Last Updated
Mar 23, 2010
Licenses
083026191RN (OR)
930064 (OR)
930064 OT-SC (OR)
Sole Proprietor
Yes

Practice Information

Address
1900 WOODLAND DR
COOS BAY, OR, 974200000
Browse OR providers · Browse ZIP 97420
Phone
5412675151
Fax
5412664541
Primary Specialty
Behavioral Health Technician
374700000X
Additional Specialty
Orthopedic Nurse
Additional Specialty
Behavioral Health Technician
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.