Eugene R Moe PT PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

0958 Issued in OR

Legal business name

EUGENE R MOE PT PC

Practice address

1010 SW Coast Hwy
Suite 102
Newport, OR 97365-5288

Phone

(541) 265-4252

Fax

(541) 265-8914

NPI assigned

Oct 29, 2007

Last updated

Apr 17, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tonya Johnson

Title

Office Manager

Phone

(541) 265-4252

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1336328160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 SW COAST HWY",
            "address_2": "SUITE 102",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973655288",
            "telephone_number": "541-265-4252",
            "fax_number": "541-265-8914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 SW COAST HWY",
            "address_2": "SUITE 102",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973655288",
            "telephone_number": "541-265-4252",
            "fax_number": "541-265-8914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUGENE R MOE PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TONYA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "541-265-4252"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OR",
            "license": "0958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Newport, OR
• Providers in Newport, OR by specialty
• Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.