Fallon Moore, is a
Occupational Therapist based in Dallas, Oregon. Fallon Moore is licensed to practice in * (Not Available) (license number ) and her current practice location is
182 Sw Academy St, Dallas, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 623-9289.
NPI number for Fallon Moore is 1336805027 and her current mailing address is 182 Sw Academy St, Dallas, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336805027.
Healthcare Provider's Profile
| Full Name | Fallon Moore |
|---|
| Gender | Female |
|---|
| Speciality | Occupational Therapist |
|---|
| Location | 182 Sw Academy St, Dallas, Oregon |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1336805027
- Provider Enumeration Date: 11/16/2021
- Last Update Date: 11/16/2021
Medical Identifiers
Medical identifiers for Fallon Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336805027 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Fallon Moore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Fallon Moore,
182 Sw Academy St,
Dallas, OR 97338-1996
Ph: () - | Fallon Moore,
182 Sw Academy St,
Dallas, OR 97338-1996
Ph: (503) 623-9289 |
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