| Mrs Katrina Eileen Moen, FNP | |
|
291 C St Unit 110, Washougal, WA 98671 | |
| (360) 882-2778 | |
| (360) 604-1644 |
| Full Name | Mrs Katrina Eileen Moen |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | 291 C St Unit 110, Washougal, Washington |
| 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 |
|---|---|---|---|
| 1023364106 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 60301097 (Washington) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 201250106NP (Oregon) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Vancouver Clinic Inc Ps | 3173436490 | 512 |
| Entity Name | The Vancouver Clinic Inc Ps |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992759427 PECOS PAC ID: 3173436490 Enrollment ID: O20031111000793 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Katrina Eileen Moen, FNP 700 Ne 87th Ave, Vancouver, WA 98664-1913 Ph: (360) 397-3352 | Mrs Katrina Eileen Moen, FNP 291 C St Unit 110, Washougal, WA 98671 Ph: (360) 882-2778 |
Alexis Leigh Bullard, ARNP, BC, C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3298 F Pl, Washougal, WA 98671 Phone: 360-213-3719 | |
Elizabeth M Cook, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 291 C St Unit 110, Washougal, WA 98671 Phone: 360-882-2778 Fax: 360-604-1644 | |
Rebecca Ann Hamm, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 413 N V St, Washougal, WA 98671 Phone: 509-590-7116 |