Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDAN EDWARD MOON, PA-C, MPH
ActiveJORDAN EDWARD MOON, PA-C, MPH is a Physician Assistant healthcare provider located in SPRINGFIELD, Oregon. NPI 1770031221 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · SPRINGFIELD, OR
Registration Details
- NPI Number
- 1770031221
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 13, 2016 (9.8944050480282 yrs)
- Last Updated
- Jun 9, 2021
- Licenses
-
PA179905 (OR)PA179905 (OR)
Practice Information
- Address
-
2280 MARCOLA RDSPRINGFIELD, OR, 974772594Browse OR providers · Browse ZIP 97477
- Phone
- 5417474300
- Fax
- 5417470655
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in SPRINGFIELD, OR
| Name | Credential | NPI |
|---|---|---|
| MARK A WELLS | PA | 1558344952 |
| MR. JAMES R. KAHLER | PA | 1710962287 |
| LISA M INGOLD | PA-C | 1538147053 |
| AMY D LITTLEJOHN | PA-C | 1902884497 |
| LAWRENCE D WEIDELL | PA-C | 1770540122 |
| JOHN HUNTINGTON | PAC | 1558312652 |
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.