JUSTIN MOSS DO NPI 1265991640

NPI Information

NPI: 1265991640
Provider Name: JUSTIN MOSS, DO
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
200 MULLINS DR
LEBANON, OR
ZIP 97355
Phone: (253) 651-5881
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Justin Moss, DO is a general practice in Lebanon, OR. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Justin Moss, DO NPI is 1265991640. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

200 MULLINS DR
LEBANON, OR
ZIP 97355-983
Phone: (253) 651-5881

The enumeration date for this NPI number is 3/15/2019 and was last updated on 8/8/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program				No
2	208D00000X	General Practice		0102207468	VIRGINIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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