| Mrs Jennifer Moon, NP | |
|
703 Se 1st Ave, Canby, OR 97013-3849 | |
| (503) 266-7686 | |
| Not Available |
| Full Name | Mrs Jennifer Moon |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 703 Se 1st Ave, Canby, Oregon |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073051736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 201707373NP-PP (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Willamette Falls Medical Center | Oregon city, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Clackamas County | 9537065560 | 55 |
| Entity Name | Clackamas County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841443587 PECOS PAC ID: 9537065560 Enrollment ID: O20031210000827 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jennifer Moon, NP 703 Se 1st Ave, Canby, OR 97013-3849 Ph: (503) 266-7686 | Mrs Jennifer Moon, NP 703 Se 1st Ave, Canby, OR 97013-3849 Ph: (503) 266-7686 |
Mr. John Michael Richards, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 703 Se 1st Ave, Canby, OR 97013 Phone: 503-266-7686 Fax: 503-266-7382 | |
Meghan E. Brennan, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 178 Sw 2nd Ave, Canby, OR 97013 Phone: 503-416-4547 Fax: 503-416-4553 | |
Ms. Anne Marie Barry-lever, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 178 Sw 2nd Ave, Canby, OR 97013 Phone: 503-416-4547 Fax: 503-416-4555 | |
Dianne Eileen Blust, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1185 S Elm St, Canby, OR 97013 Phone: 503-723-4670 Fax: 503-266-6649 | |
Peter C Sunderland, MSN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 409 Nw 2nd Ave, Canby, OR 97013 Phone: 503-266-1407 | |
Ms. Susan J Wilson, NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 32285 S Kropf Rd, Canby, OR 97013 Phone: 503-651-5252 |