Doctor Name: | EUGENE R MOE |
NPI Number: | 1023074200 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 0958 |
Business Practice Address: | 1010 Sw Coast Hwy Ste 102 Newport, OR - 97365 |
Business Phone Number: | 5412654252 |
Business Fax Number: | 5412658914 |
Mailing Address: | 1010 Sw Coast Hwy, Suite 102 NEWPORT |
State: | OR |
Postal Code: | 97365 |
Phone Number: | 5412654252 |
Fax Number: | 5412658914 |
NPI Enumeration Date: | 04/25/2006 |
NPI Last Update Date: | 03/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 0958 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |